PRIME SURGICAL CENTER OF AVONDALE
NPI 1689449555
Clinic/Center - Ambulatory Surgical in Avondale, AZ
About Prime Surgical Center Of Avondale NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME SURGICAL CENTER OF AVONDALE (NPI 1689449555) is a healthcare organization registered as an ambulatory surgical in Avondale, Arizona and active in the NPI registry since November 2023. The organization holds a CLIA Certificate of Compliance certificate valid through October 15, 2027 and lists Jessie Timms, Vp, Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Compliance 03D2294570
Prime Surgical Center Of Avondale · Avondale, AZFrequently 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 Prime Surgical Center Of Avondale's NPI number?
The NPI number for Prime Surgical Center Of Avondale is 1689449555. It was assigned to this organization in the NPPES registry on November 20, 2023.
Where is Prime Surgical Center Of Avondale located?
Prime Surgical Center Of Avondale is located at 10825 W Mcdowell Rd Ste 120, Avondale, AZ 85392. The listed phone number is (818) 937-9969.
What is Prime Surgical Center Of Avondale's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Prime Surgical Center Of Avondale hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 03D2294570) is associated with this NPI, valid through October 15, 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 Prime Surgical Center Of Avondale was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Prime Surgical Center Of Avondale · NPI 1689449555
Ambulatory Surgical organization in Avondale, Arizona. Organization record, active in the CMS NPPES registry since November 20, 2023.
## Identity
- **NPI:** 1689449555 (Entity type: Organization)
- **Enumerated:** November 20, 2023
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Jessie Timms, VP, OPERATIONS
## Practice location
- **Address:** 10825 W MCDOWELL RD STE 120, Avondale, AZ 85392-5014
- **Phone:** (818) 937-9969
## Record status
- **NPPES last updated:** September 9, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689449555) · Data from the CMS NPPES public registry.