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SHEA SPECIALTY SURGERY LLC
NPI 1710611199
Clinic/Center - Ambulatory Surgical in Scottsdale, AZ

Active since July 12, 2022CLIA 03D2229991 · Waiver
8426 E SHEA BLVD STE 100, SCOTTSDALE, AZ 85260(480) 860-4792(480) 860-6819 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2022, Jul 12, 2022 (2 updates tracked since 2022).

About Shea Specialty Surgery Llc NPPES

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

SHEA SPECIALTY SURGERY LLC (NPI 1710611199) is a healthcare organization registered as an ambulatory surgical in Scottsdale, Arizona and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Shane Lipskind, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1710611199
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSHEA SPECIALTY SURGERY LLC
Location Address8426 E SHEA BLVD STE 100Scottsdale, AZ 85260-6634
Mailing Address8426 E Shea Blvd Ste 100Scottsdale, AZ 85260-6634 · (480) 860-4792
Phone(480) 860-4792
Fax(480) 860-6819
Organization SubpartNo
Authorized OfficialShane LipskindMedical Director · (480) 389-6460
Enumeration DateJuly 12, 2022
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1710611199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
8426 E SHEA BLVD STE 100, Scottsdale, AZ 85260
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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 03D2229991

Shea Specialty Surgery LLC · Scottsdale, AZ
Active · expires Apr 14, 2028
CLIA Number03D2229991
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorShane T. Lipskind
Laboratory Phone(480) 860-4792
Laboratory LocationShea Specialty Surgery LLC8426 E Shea Blvd Ste 100, Scottsdale, AZ 85260
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 Shea Specialty Surgery LLC's NPI number?

The NPI number for Shea Specialty Surgery LLC is 1710611199. It was assigned to this organization in the NPPES registry on July 12, 2022.

Where is Shea Specialty Surgery LLC located?

Shea Specialty Surgery LLC is located at 8426 E Shea Blvd Ste 100, Scottsdale, AZ 85260. The listed phone number is (480) 860-4792.

What is Shea Specialty Surgery LLC's specialty?

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

Does Shea Specialty Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2229991) is associated with this NPI, valid through April 14, 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 Shea Specialty Surgery LLC was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.