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BRC CHANDLER LLC
NPI 1609408616
Clinic/Center - Ambulatory Surgical in Chandler, AZ

Active since February 07, 2020CLIA 03D2190693 · Waiver
1475 W CHANDLER BLVD, CHANDLER, AZ 85224(480) 930-4018 Get Directions Write a Review

NPPES record last updated: February 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brc Chandler Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRC CHANDLER LLC (NPI 1609408616) is a healthcare organization registered as an ambulatory surgical in Chandler, Arizona and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Jeremy Buckner, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1609408616
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBRC CHANDLER LLC
Location Address1475 W CHANDLER BLVDChandler, AZ 85224-6257
Mailing AddressPo Box 11180Tempe, AZ 85284-0020 · (480) 930-4018
Phone(480) 930-4018
Organization SubpartNo
Authorized OfficialJeremy BucknerSole Member · (480) 930-4018
Enumeration DateFebruary 7, 2020
✔ NPI 1609408616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedSurgeryTaxonomy 208600000X
1475 W CHANDLER BLVD, Chandler, AZ 85224
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2190693

Bcc Chandler LLC · Chandler, AZ
Active · expires Apr 8, 2027
CLIA Number03D2190693
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 8, 2027
Laboratory DirectorCarlos Rodriguez
Laboratory Phone(480) 687-7788
Laboratory LocationBcc Chandler LLC1475 West Chandler Blvd Ste 3, Chandler, AZ 85224
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYSICIANS UNITED SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1475 W CHANDLER BLVD
CHANDLER, AZ 85224
Maricopa County (602) 481-7369
ARIZONA CENTER FOR MINIMALLY INVASIVE SURGERY LLC
Clinic/Center (Ambulatory Surgical)
1475 W CHANDLER BLVD
CHANDLER, AZ 85224
Maricopa County (623) 544-7266
CHANDLER ASC LLC
Clinic/Center (Ambulatory Surgical)
1475 W CHANDLER BLVD
CHANDLER, AZ 85224
Maricopa County (480) 930-4018
BCC CHANDLER LLC
Clinic/Center (Ambulatory Surgical)
1475 W CHANDLER BLVD
CHANDLER, AZ 85224
Maricopa County (602) 358-8512
ARIZONA SPINE AND PAIN SPECIALISTS LLC
Durable Medical Equipment & Medical Supplies
1475 W CHANDLER BLVD
CHANDLER, AZ 85224
Maricopa County (480) 699-1669
CHANDLER SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
1475 W CHANDLER BLVD
CHANDLER, AZ 85224
Maricopa County (866) 551-4246
MAGNIFICA HEALTHCARE LLC
Clinic/Center (Ambulatory Surgical)
1475 W CHANDLER BLVD
CHANDLER, AZ 85224
Maricopa County (480) 930-4018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brc Chandler LLC's NPI number?

The NPI number for Brc Chandler LLC is 1609408616. It was assigned to this organization in the NPPES registry on February 7, 2020.

Where is Brc Chandler LLC located?

Brc Chandler LLC is located at 1475 W Chandler Blvd, Chandler, AZ 85224. The listed phone number is (480) 930-4018.

What is Brc Chandler LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Brc Chandler LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2190693) is associated with this NPI, valid through April 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brc Chandler LLC was last updated on February 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.