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SPECTRUM DIALYSIS AZ INC
NPI 1902687197
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Scottsdale, AZ

Active since October 12, 2023CLIA 03D2310404 · Waiver
10250 N 92ND ST STE 118, SCOTTSDALE, AZ 85258(818) 342-3012 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Spectrum Dialysis Az Inc NPPES

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

SPECTRUM DIALYSIS AZ INC (NPI 1902687197) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Scottsdale, Arizona and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through September 2, 2028 and lists Eyal Shtorch, Owner, as its authorized official.

NPPES Registry Identity

NPI1902687197
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSPECTRUM DIALYSIS AZ INC
Location Address10250 N 92ND ST STE 118Scottsdale, AZ 85258-4518
Mailing Address18040 Sherman Way Ste 210Reseda, CA 91335-4656 · (818) 342-3012 · Fax (818) 342-3013
Phone(818) 342-3012
Organization SubpartNo
Authorized OfficialEyal ShtorchOwner · (818) 342-3012
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1902687197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
10250 N 92ND ST STE 118, Scottsdale, AZ 85258
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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

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 03D2310404

Spectrum Dialysis Az, Inc · Scottsdale, AZ
Active · expires Sep 2, 2028
CLIA Number03D2310404
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 3, 2026
Certificate Expiration DateSeptember 2, 2028
Laboratory DirectorArvind Durvasan
Laboratory Phone(480) 320-1203
Laboratory LocationSpectrum Dialysis Az, Inc10250 N 92nd St Ste 118, Scottsdale, AZ 85258
CLIA data matches this NPI record on: Address Name
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 Spectrum Dialysis Az Inc's NPI number?

The NPI number for Spectrum Dialysis Az Inc is 1902687197. It was assigned to this organization in the NPPES registry on October 12, 2023.

Where is Spectrum Dialysis Az Inc located?

Spectrum Dialysis Az Inc is located at 10250 N 92nd St Ste 118, Scottsdale, AZ 85258. The listed phone number is (818) 342-3012.

What is Spectrum Dialysis Az Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Spectrum Dialysis Az Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2310404) is associated with this NPI, valid through September 2, 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 Spectrum Dialysis Az Inc was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.