PLATINUM SURGERY CENTER LLC
NPI 1689360117
Clinic/Center - Ambulatory Surgical in Gilbert, AZ

Active since April 17, 2023CLIA 03D2281664 · Waiver
1981 E BONANZA CT STE 101, GILBERT, AZ 85297(480) 466-7355 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Platinum Surgery Center Llc NPPES

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

PLATINUM SURGERY CENTER LLC (NPI 1689360117) is a healthcare organization registered as an ambulatory surgical in Gilbert, Arizona and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Joshua Olson, Owner, as its authorized official.

NPPES Registry Identity

NPI1689360117
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePLATINUM SURGERY CENTER LLC
Location Address1981 E BONANZA CT STE 101Gilbert, AZ 85297-8012
Mailing Address1981 E Bonanza Ct Ste 101Gilbert, AZ 85297-8012 · (480) 466-7355 · Fax (480) 939-2751
Organization SubpartNo
Authorized OfficialJoshua OlsonOwner · (480) 466-7355
Enumeration DateApril 17, 2023
Last NPPES UpdateOctober 2, 2023
NPPES CertifiedOctober 2, 2023
NPI 1689360117 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 ListedPlastic SurgeryTaxonomy 208200000X
1981 E BONANZA CT STE 101, Gilbert, AZ 85297

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 03D2281664

Platinum Surgery Center LLC · Gilbert, AZ
Active · expires May 9, 2027
CLIA Number03D2281664
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorJoshua Olson
Laboratory Phone(480) 466-7355
Laboratory LocationPlatinum Surgery Center LLC1981 E Bonanza Ct, Gilbert, AZ 85297
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Platinum Surgery Center LLC's NPI number?

The NPI number for Platinum Surgery Center LLC is 1689360117. It was assigned to this organization in the NPPES registry on April 17, 2023.

Where is Platinum Surgery Center LLC located?

Platinum Surgery Center LLC is located at 1981 E Bonanza Ct Ste 101, Gilbert, AZ 85297. The listed phone number is (480) 466-7355.

What is Platinum Surgery Center LLC's specialty?

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

Does Platinum Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2281664) is associated with this NPI, valid through May 9, 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 Platinum Surgery Center LLC was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.