Active NPI
Cardiovascular Lab of Arizona LLC
- Interventional Cardiology Physician
- Scottsdale, AZ
National Provider Identifier
1770154767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- CARDIOVASCULAR LAB OF ARIZONA LLC
- Practice address
- 16638 N 90TH St Ste 101
Scottsdale, AZ 85260-1539 - Phone
- (480) 747-6532
- NPI assigned
- Jul 9, 2021
- 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
- Nassim Haddad, MD
- Title
- Member Manager
- Phone
- (480) 747-6532
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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | Primary |
Addresses
Primary practice location
16638 N 90TH St Ste 101
Scottsdale, AZ 85260-1539
Mailing address
16638 N 90TH St Ste 101
Scottsdale, AZ 85260-1539
Phone (480) 506-0484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Scottsdale, AZ
- NPI 1316060619
-
- Clinical Cardiac Electrophysiology Physician
- Scottsdale, AZ
- NPI 1124218607
-
- Interventional Cardiology Physician
- Scottsdale, AZ
- NPI 1093907107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777248000000",
"number": "1770154767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16638 N 90TH ST STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601539",
"telephone_number": "480-506-0484",
"fax_number": "480-944-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16638 N 90TH ST STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852601539",
"telephone_number": "480-747-6532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR LAB OF ARIZONA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-09",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A",
"authorized_official_last_name": "HADDAD",
"authorized_official_first_name": "NASSIM",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "480-747-6532",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.