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MODERN AMBULATORY SURGERY CENTER, PC
NPI 1982031936
Clinic/Center - Ambulatory Surgical in Mesa, AZ

Active since October 07, 2013CLIA 03D2053506 · Waiver
4860 E BASELINE ROAD, SUITE 101, MESA, AZ 85206(602) 265-8800(602) 265-8151 Get Directions Write a Review

NPPES record last updated: October 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modern Ambulatory Surgery Center, Pc NPPES

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

MODERN AMBULATORY SURGERY CENTER, PC (NPI 1982031936) is a healthcare organization registered as an ambulatory surgical in Mesa, Arizona and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Leslie Daugherty, Administrator, as its authorized official.

NPPES Registry Identity

NPI1982031936
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMODERN AMBULATORY SURGERY CENTER, PC
Location Address4860 E BASELINE ROAD, SUITE 101Mesa, AZ 85206-4670
Mailing Address1301 E Mcdowell Rd, Suite 100Phoenix, AZ 85006-2621 · (602) 265-8800 · Fax (602) 265-8151
Phone(602) 265-8800
Fax(602) 265-8151
Organization SubpartNo
Authorized OfficialLeslie DaughertyAdministrator · (602) 265-8800
Enumeration DateOctober 7, 2013
✔ NPI 1982031936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4860 E BASELINE ROAD, Mesa, AZ 85206
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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 03D2053506

Modern Ambulatory Surgery Center · Mesa, AZ
Active · expires Jan 31, 2027
CLIA Number03D2053506
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorAzmi N. Nasser
Laboratory Phone(602) 265-8800
Laboratory LocationModern Ambulatory Surgery Center4860 E Baseline Rd Ste 101, Mesa, AZ 85206
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 Modern Ambulatory Surgery Center, PC's NPI number?

The NPI number for Modern Ambulatory Surgery Center, PC is 1982031936. It was assigned to this organization in the NPPES registry on October 7, 2013.

Where is Modern Ambulatory Surgery Center, PC located?

Modern Ambulatory Surgery Center, PC is located at 4860 E Baseline Road Suite 101, Mesa, AZ 85206. The listed phone number is (602) 265-8800.

What is Modern Ambulatory Surgery Center, PC's specialty?

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

Does Modern Ambulatory Surgery Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2053506) is associated with this NPI, valid through January 31, 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 Modern Ambulatory Surgery Center, PC was last updated on October 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.