CENTRAL ARIZONA ENDOSCOPY LLC NPI 1750312435

NPI Information

NPI: 1750312435
Provider Name: CENTRAL ARIZONA ENDOSCOPY LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Address: 2158 N GILBERT RD
BUILDING 1 SUITE 103
MESA, AZ
ZIP 85203
Phone: (480) 751-3002

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NPI Details

CENTRAL ARIZONA ENDOSCOPY LLC is an ambulatory surgical clinic center in Mesa, AZ. CENTRAL ARIZONA ENDOSCOPY LLC NPI is 1750312435. The provider is registered as an organization entity type.

The provider's business location address is:

2158 N GILBERT RD
BUILDING 1 SUITE 103
MESA, AZ
ZIP 85203-112
Phone: (480) 751-3002
Fax: (480) 751-3003

The provider's authorized official is Michelle Borror .
The authorized official title is Administrator and has the following contact phone number (480) 751-3002.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 11/4/2025.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	OSC 4093	ARIZONA	Yes

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
1	03D1057109	OTHER		CLIA WAIVER
2	OSC 4093	OTHER	ARIZONA	ARIZONA LICENSE
3	217237	MEDICAID	ARIZONA
4	74203	OTHER		AAAHC

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: 11/21/2025

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