NPIMap

Organization Active NPI

The Pain Center of Arizona, PC

Doing business as The Pain Center of Arizona

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1154780237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
THE PAIN CENTER OF ARIZONA, PC
Doing business as
The Pain Center of Arizona
Practice address
20333 N 19TH Ave Ste 130
Phoenix, AZ 85027-3627
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Feb 17, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
THE PAIN CENTER OF ARIZONA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cathy Hardesty
Title
Director of Admin Ops
Phone
(623) 516-8252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X AZ Primary

Addresses

Primary practice location

20333 N 19TH Ave Ste 130
Phoenix, AZ 85027-3627

Mailing address

5281 N 99TH Ave
Suite 100
Glendale, AZ 85305-3105
Phone (623) 516-8252

Other names 2

  • The Pain Center of Arizona Doing business as
  • TPC LAB Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2004195The Pain Center of Arizona - Phoenix20333 N 19TH Ave, Ste 100, Phoenix, AZ 85027Certificate of waiverFeb 25, 2028

National Provider Directory

National Provider Directory
Part of
Pain Center of Arizona PC

Locations

825 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (602) 492-9919

19636 N 27th Ave
Ste 106
Phoenix, AZ 85027
Phone (480) 372-4254

20333 N 19th Ave
Ste 130
Phoenix, AZ 85027

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154780237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 N 99TH AVE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053105",
            "telephone_number": "623-516-8252",
            "fax_number": "623-691-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273627",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAIN CENTER OF ARIZONA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PAIN CENTER OF ARIZONA, PC",
        "enumeration_date": "2016-02-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARDESTY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "DIRECTOR OF ADMIN OPS",
        "authorized_official_telephone_number": "623-516-8252"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pain Center of Arizona",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TPC LAB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.