ALLIANCE MEDICAL CLINIC, LLC
NPI 1740224054
Internal Medicine in Anthem, AZ

Active since June 16, 2006CLIA 03D1069776 · Microscopy
42104 N VENTURE DR, SUITE D118, ANTHEM, AZ 85086(623) 505-6565(623) 551-5567 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alliance Medical Clinic, Llc NPPES

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

ALLIANCE MEDICAL CLINIC, LLC (NPI 1740224054) is a healthcare organization registered as an internal medicine in Anthem, Arizona and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through June 12, 2027 and lists Alicia Anne Baer, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1740224054
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameALLIANCE MEDICAL CLINIC, LLC
Location Address42104 N VENTURE DR, SUITE D118Anthem, AZ 85086-3823
Mailing Address42104 N Venture Dr, Suite D 118Anthem, AZ 85086-3823 · (623) 505-6565 · Fax (623) 505-6565
Fax(623) 551-5567
Organization SubpartNo
Authorized OfficialAlicia Anne BaerPractice Manager · (623) 271-8704
Enumeration DateJune 16, 2006
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
NPI 1740224054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
42104 N VENTURE DR, Anthem, AZ 85086

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

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 03D1069776

Alliance Medical Clinic · Anthem, AZ
Active · expires Jun 12, 2027
CLIA Number03D1069776
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorAnil A. Goud MD
Laboratory Phone(623) 505-6565
Laboratory LocationAlliance Medical Clinic42104 N Venture Ct D-118, Anthem, AZ 85086
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 18

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

Durable Medical Equipment & Medical Supplies
42104 N VENTURE DR, SUITE D118
ANTHEM, AZ 85086
Chiropractor
42104 N VENTURE DR, STE A102
ANTHEM, AZ 85086
Clinic/Center (Primary Care)
42104 N VENTURE DR, STEC126
ANTHEM, AZ 85086
Internal Medicine
42104 N VENTURE DR, SUITE D118
ANTHEM, AZ 85086
Chiropractor
42104 N VENTURE DR, A-102
ANTHEM, AZ 85086
Dentist (General Practice)
42104 N VENTURE DR, SUITE B134
ANTHEM, AZ 85086
Marriage & Family Therapist
42104 N VENTURE DR, BUILDNG D, STE 102-106, UNIT 3
ANTHEM, AZ 85086
Durable Medical Equipment & Medical Supplies (Customized Equipment)
42104 N VENTURE DR
ANTHEM, AZ 85086

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 Alliance Medical Clinic, LLC's NPI number?

The NPI number for Alliance Medical Clinic, LLC is 1740224054. It was assigned to this organization in the NPPES registry on June 16, 2006.

Where is Alliance Medical Clinic, LLC located?

Alliance Medical Clinic, LLC is located at 42104 N Venture Dr Suite D118, Anthem, AZ 85086. The listed phone number is (623) 505-6565.

What is Alliance Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Alliance Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D1069776) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alliance Medical Clinic, LLC accept?

Health plans from Ambetter from Arizona Complete Health list Alliance Medical Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alliance Medical Clinic, LLC was last updated on April 12, 2022. 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.