Organization Active NPI

Aztec Pathology LLC

  • Clinical Medical Laboratory
  • Tempe, AZ
National Provider Identifier
1407164486
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AZTEC PATHOLOGY LLC
Practice address
5024 S Ash Ave Ste 103
Tempe, AZ 85282-6847
Phone
(623) 806-1500
Fax
(623) 433-0174
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Dr. Shveta Mehra, MD
Title
President
Phone
(623) 806-1500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5024 S Ash Ave Ste 103
Tempe, AZ 85282-6847

Mailing address

5024 S Ash Ave Ste 103
Tempe, AZ 85282-6847
Phone (623) 806-1500

Other identifiers 2

IdentifierTypeStateIssuer
DY0475OtherAZMEDICARE RAILROAD PTAN
550735MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101124000599 AZ Part B Supplier - Clinic/Group Practice 5496941882 Practice locations: Tempe, AZ
O20190711002986 AZ Part B Supplier - Independent Clinical Laboratory 5496941882 Practice locations: Tempe, AZ

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
03D2030497Aztec Pathology, LLC5024 S Ash Ave Ste 103, Tempe, AZ 85282AccreditationNov 25, 2026

National Provider Directory

National Provider Directory

Locations

2538 E University Dr
Ste 100
Phoenix, AZ 85034
Phone (480) 258-2840

5024 S Ash Ave
Ste 103
Tempe, AZ 85282
Phone (623) 806-1500

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1407164486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 S ASH AVE STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826847",
            "telephone_number": "623-806-1500",
            "fax_number": "623-433-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 S ASH AVE STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826847",
            "telephone_number": "623-806-1500",
            "fax_number": "623-433-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZTEC PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "MEHRA",
        "authorized_official_first_name": "SHVETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-806-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "DY0475",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550735",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.