PARADISE VALLEY DERMATOLOGY
NPI 1962684530
Specialist in Phoenix, AZ
About Paradise Valley Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARADISE VALLEY DERMATOLOGY (NPI 1962684530) is a healthcare organization registered as a specialist in Phoenix, Arizona and active in the NPI registry since December 2007. The organization holds a CLIA Certificate of Compliance certificate valid through July 6, 2027 and lists Mark A Blair, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 Compliance 03D0528263
Paradise Valley Dermatology · Phoenix, AZOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mark A Blair MD PC's NPI number?
The NPI number for Mark A Blair MD PC is 1962684530. It was assigned to this organization in the NPPES registry on December 5, 2007. The provider is also known as Paradise Valley Dermatology.
Where is Mark A Blair MD PC located?
Mark A Blair MD PC is located at 12251 N 32nd St, Phoenix, AZ 85032. The listed phone number is (602) 971-0950.
What is Mark A Blair MD PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Does Mark A Blair MD PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 03D0528263) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mark A Blair MD PC was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Paradise Valley Dermatology · NPI 1962684530
Specialist organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since December 5, 2007.
## Identity
- **NPI:** 1962684530 (Entity type: Organization)
- **Enumerated:** December 5, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Mark A Blair Md Pc
- **Organization subpart:** No
- **Authorized official:** Mark Blair, OWNER
## Practice location
- **Address:** 12251 N 32ND ST, Phoenix, AZ 85032-7189
- **Phone:** (602) 971-0950
## Record status
- **NPPES last updated:** December 11, 2007
- **Other identifiers:** Medicare PIN Z79349 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962684530) · Data from the CMS NPPES public registry.