Organization Active NPI

Innovista Tech Solutions LLC

  • Speech/Language/Hearing Specialist/Technologist
  • Laveen, AZ
National Provider Identifier
1164293445
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X
Legal business name
INNOVISTA TECH SOLUTIONS LLC
Practice address
7221 S 53Rd LN
Laveen, AZ 85339-6963
Phone
(602) 491-5489
Fax
(623) 246-7060
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Ashraf Abdelrazig
Title
Owner
Phone
(602) 491-5489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech/Language/Hearing Specialist/Technologist 235500000X Primary

Addresses

Primary practice location

7221 S 53Rd LN
Laveen, AZ 85339-6963

Mailing address

9700 S Central Ave Unit 221
Phoenix, AZ 85042-8398
Phone (602) 491-5489

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1164293445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 S CENTRAL AVE UNIT 221",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850428398",
            "telephone_number": "602-491-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 S 53RD LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396963",
            "telephone_number": "602-491-5489",
            "fax_number": "623-246-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVISTA TECH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-10-08",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "ABDELRAZIG",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-491-5489"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.