SUMMIT MD LLC
NPI 1700544848
Nurse Practitioner - Primary Care in Phoenix, AZ
About Summit Md Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT MD LLC (NPI 1700544848) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Andrew Lenick, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 03D2151028
Summit Home Health · Phoenix, AZOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85020
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 Summit MD LLC's NPI number?
The NPI number for Summit MD LLC is 1700544848. It was assigned to this organization in the NPPES registry on December 6, 2021.
Where is Summit MD LLC located?
Summit MD LLC is located at 7310 N 16th St Ste 100, Phoenix, AZ 85020. The listed phone number is (602) 535-8255.
What is Summit MD LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Does Summit MD LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2151028) is associated with this NPI, valid through July 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 Summit MD LLC was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Summit Md Llc · NPI 1700544848
Primary Care organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since December 6, 2021.
## Identity
- **NPI:** 1700544848 (Entity type: Organization)
- **Enumerated:** December 6, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Andrew Lenick, PRESIDENT
## Practice location
- **Address:** 7310 N 16TH ST STE 100, Phoenix, AZ 85020-5259
- **Phone:** (602) 535-8255
## Record status
- **NPPES last updated:** December 6, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700544848) · Data from the CMS NPPES public registry.