SURGERY CENTER OF ARIZONA LLC
NPI 1659221307
Clinic/Center - Ambulatory Surgical in Mesa, AZ

Active since February 02, 2026CLIA 03D2339913 · Waiver
2111 W UNIVERSITY DR, MESA, AZ 85201(623) 221-2289 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surgery Center Of Arizona Llc NPPES

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

SURGERY CENTER OF ARIZONA LLC (NPI 1659221307) is a healthcare organization registered as an ambulatory surgical in Mesa, Arizona and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Lakshman Gollapalli, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1659221307
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF ARIZONA LLC
Location Address2111 W UNIVERSITY DRMesa, AZ 85201-5205
Mailing Address2111 W University DrMesa, AZ 85201-5205
Organization SubpartNo
Authorized OfficialLakshman GollapalliOwner/md · (347) 237-0400
Enumeration DateFebruary 2, 2026
Last NPPES UpdateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
NPI 1659221307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2111 W UNIVERSITY DR, Mesa, AZ 85201

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 03D2339913

Surgery Center Of Arizona LLC · Mesa, AZ
Active · expires Mar 9, 2028
CLIA Number03D2339913
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorKelsey Jueth
Laboratory Phone(602) 361-6830
Laboratory LocationSurgery Center Of Arizona LLC2111 W University Dr, Mesa, AZ 85201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Occupational Therapist (Hand)
2111 W UNIVERSITY DR
MESA, AZ 85201
Occupational Therapist
2111 W UNIVERSITY DR
MESA, AZ 85201
Occupational Therapist (Hand)
2111 W UNIVERSITY DR
MESA, AZ 85201
Clinic/Center (Ambulatory Surgical)
2111 W UNIVERSITY DR
MESA, AZ 85201

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 Surgery Center Of Arizona LLC's NPI number?

The NPI number for Surgery Center Of Arizona LLC is 1659221307. It was assigned to this organization in the NPPES registry on February 2, 2026.

Where is Surgery Center Of Arizona LLC located?

Surgery Center Of Arizona LLC is located at 2111 W University Dr, Mesa, AZ 85201. The listed phone number is (623) 221-2289.

What is Surgery Center Of Arizona LLC's specialty?

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

Does Surgery Center Of Arizona LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2339913) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Surgery Center Of Arizona LLC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.