Az Mobile Medical Clinic LLC
NPI 1013766484ActiveOrganization· General Practice· Laveen, AZ
General Practice in Laveen, Arizona, registered in NPPES in May 2024. The authorized official on file is John Richard Groff, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013766484 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2024 |
| Last updated in NPPES | Apr 23, 2025 |
| Certified by provider | Apr 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|