NPIMap

Organization Active NPI

Southern Arizona Laborists, LLC

  • Hospitalist Physician
  • Nogales, AZ
National Provider Identifier
1639720063
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
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
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Dr. Elizabeth Weisert, MDNPI 1538133616
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

Practitioners & affiliated clinicians

Practitioners 15

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 15

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": "",
            "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.

Verify at the official NPI Registry.