EVOLUTION HEALTHCARE MANAGEMENT LLC
NPI 1770951980
Clinic/Center - Primary Care in Mesa, AZ
About Evolution Healthcare Management Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVOLUTION HEALTHCARE MANAGEMENT LLC (NPI 1770951980), doing business as Evolution Management Services Company, is a healthcare organization registered as a primary care in Mesa, Arizona and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through February 20, 2028, maintains a secondary practice location in Apache Junction, and lists Fawn Michelle Boonstra, President, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2179363
- Facility Type
- Physician Office
- Certificate Effective Date
- February 21, 2026
- Certificate Expiration Date
- February 20, 2028
- Laboratory Director
- SHINY S. THOMAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evolution Healthcare Management Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770951980, enumerated as an "organization" on September 03, 2015.
The provider is located at 7615 E BASELINE RD SUITE 101 MESA, AZ 85209 and the phone number is (480) 354-7878.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to verify.
