Active NPI
Southern Arizona Laborists, LLC
- Hospitalist Physician
- Nogales, AZ
National Provider Identifier
1639720063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- SOUTHERN ARIZONA LABORISTS, LLC
- Practice address
- 1171 W Target Range Rd
Nogales, AZ 85621-2415 - Phone
- (520) 348-0938
- Fax
- (520) 512-5401
- NPI assigned
- Sep 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth Weisert, MD
- Title
- Medical Director
- Phone
- (000) 000-0000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1171 W Target Range Rd
Nogales, AZ 85621-2415
Mailing address
3430 E Sunrise Dr Ste 180
Tucson, AZ 85718-3236
Phone (520) 348-0938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210524002701 | AZ | Part B Supplier - Clinic/Group Practice | 0749689735 |
Receives reassigned benefits from 15 practitioners Practice locations: Nogales, AZ; Prescott Valley, AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743984000000",
"number": "1639720063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 E SUNRISE DR STE 180",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857183236",
"telephone_number": "520-348-0938",
"fax_number": "520-512-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 W TARGET RANGE RD",
"city": "NOGALES",
"state": "AZ",
"postal_code": "856212415",
"telephone_number": "520-348-0938",
"fax_number": "520-512-5401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN ARIZONA LABORISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-26",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A",
"authorized_official_last_name": "WEISERT",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "000-000-0000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nogales, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.