CENTRAL MESA MEDICAL PC
NPI 1669509568
Chiropractor in Mesa, AZ

Active since February 27, 2007CLIA 03D2023617 · Waiver
204 N CENTER ST, MESA, AZ 85201(480) 962-0868(480) 962-7010 Get Directions Write a Review

NPPES record last updated: November 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Central Mesa Medical Pc NPPES

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

CENTRAL MESA MEDICAL PC (NPI 1669509568) is a healthcare organization registered as a chiropractor in Mesa, Arizona and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Scott L Miritello, President, as its authorized official.

NPPES Registry Identity

NPI1669509568
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCENTRAL MESA MEDICAL PC
Location Address204 N CENTER STMesa, AZ 85201-6629
Mailing Address204 N Center StMesa, AZ 85201-6629 · (480) 962-0868 · Fax (480) 962-7010
Fax(480) 962-7010
Organization SubpartNo
Authorized OfficialScott L MiritelloPresident · (480) 962-0868
Enumeration DateFebruary 27, 2007
Last NPPES UpdateNovember 11, 2014
NPI 1669509568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in AZ · 03289
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 21507 (AZ)
204 N CENTER ST, Mesa, AZ 85201

Other Identifiers 1

Medicare ID-Type Unspecified24807AZ · Group Number

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 03D2023617

Central Mesa Medical · Mesa, AZ
Active · expires Apr 26, 2027
CLIA Number03D2023617
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorLeanne J. Koleski
Laboratory Phone(480) 962-0868
Laboratory LocationCentral Mesa Medical204 N Center St, Mesa, AZ 85201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Adult Health)
204 N CENTER ST
MESA, AZ 85201
Chiropractor
204 N CENTER ST
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 Central Mesa Medical PC's NPI number?

The NPI number for Central Mesa Medical PC is 1669509568. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Central Mesa Medical PC located?

Central Mesa Medical PC is located at 204 N Center St, Mesa, AZ 85201. The listed phone number is (480) 962-0868.

What is Central Mesa Medical PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Does Central Mesa Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2023617) is associated with this NPI, valid through April 26, 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 Central Mesa Medical PC was last updated on November 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.