Mesa Multispecialty, LLC
Mesa Multispecialty, LLC is a healthcare organization registered as Clinical Medical Laboratory in Gilbert, AZ, holding Type 2 (organization) NPI 1104381466 since 2019. The authorized official on file is Jeremiah Faber, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104381466 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mesa Multispecialty, LLC |
| Practice address | 81 W. GUADALUPE ROAD, SUITE 112, Gilbert, AZ, 85233 |
| Phone | 4806591404 |
| Fax | 6026353863 |
| Enumeration date | 2019-01-31 |
| Last updated in NPPES | 2019-01-31 |
Authorized official
| Name | Jeremiah Faber |
|---|---|
| Title | Ceo |
| Phone | 4802583635 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Copy-ready billing details
Provider: Mesa Multispecialty, LLC NPI: 1104381466 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 81 W. GUADALUPE ROAD, SUITE 112, Gilbert, AZ, 85233
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619944170 | Oasis Obstetrics & Gynecology, Plc | Organization | Obstetrics & Gynecology Physician | Gilbert, AZ |
Verify this record
Cross-check NPI 1104381466 against the authoritative CMS record: view Mesa Multispecialty, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Mesa Multispecialty, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-01-31.