Mayo Clinic Arizona
Organization Active NPI Clinical Medical Laboratory · Scottsdale, AZ
NPI 1528039484 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1528039484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- MAYO CLINIC ARIZONA
- Practice address
- 13400 E Shea Blvd
Scottsdale, AZ 85259-5404 - Phone
- (480) 301-8000
- NPI assigned
- Jan 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Jackson
- Title
- Cfo
- Phone
- (480) 574-3055
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 10
Practitioners 1,618
-
Haidar Abdul-Muhsin, M.B.CH.B.
-
Abigail Abellana, PA-C
-
Maheen Zehra Abidi, M.D.
-
Neena S Abraham, MD
-
Michelle Abrams, OTR/L
-
Kalekia Antone Adams, DNP
-
Meg Marie Adams, PA-C
-
Jill Adamski, MD, PHD
-
Neera Agrwal, M.D.
-
Amana Ahamad, SLP
-
Safia K Ahmed, MD
-
Daniel H Ahn, D.O.
-
Ibrahim Asim Aksoy, M.D.
-
Mina Al-Badri, MBCHB, MRCP-UK
-
Sami Alasfar, M.D.
-
Gabriela Ana Alatorre, APRN FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0530313 | Mayo Clinic Az/Mayo Clinic Scottsdale Lab | Accreditation | Feb 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040210000729 | AZ | Part B Supplier - Independent Clinical Laboratory | 7012829930 |
5 other NPIs on this enrollment Practice locations: Scottsdale, AZ |
National Provider Directory
- Tax ID family
- Mayo Clinic
Locations
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Mailing address
13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8000
Other names
- Mayo Clinic Scottsdale
Other providers in Scottsdale, AZ
- Annette Maynard
- Curtis P Maynard
- Mayo Clinic Arizona
- Mayo Clinic Arizona
- Mayo Clinic Arizona
- Mayo Clinic Arizona
- Mayo Pharmacy Scottsdale IV
- Shamil C Mayor
- Naomi Maza
- Mehdi Mazaheri
All providers in Scottsdale, AZ · Clinical Medical Laboratory in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.