PHOENIX PERFUSION SERVICES NPI 1245372580

NPI Information

  • NPI: 1245372580
  • Provider Name: PHOENIX PERFUSION SERVICES
  • Classification: Perfusionist - 242T00000X
  • Entity Type: Organization
  • Address: 1830 S ALMA SCHOOL RD
    SUITE 108
    MESA, AZ
    ZIP 85210
  • Phone: (480) 248-3070

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NPI Details

PHOENIX PERFUSION SERVICES is a perfusionist in Mesa, AZ. The provider is a perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. PHOENIX PERFUSION SERVICES NPI is 1245372580. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1830 S ALMA SCHOOL RD
SUITE 108
MESA, AZ
ZIP 85210-056
Phone: (480) 248-3070
Fax: (480) 248-3099

The provider's authorized official is Machelle A Shook .
The authorized official title is Director Of Operations and has the following contact phone number (480) 248-3070.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 5/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1242T00000XPerfusionistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1126922OTHERARIZONAHEALTHNET
2AZ0725920OTHERARIZONABCBS OF AZ

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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