Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cleanslate Medical Group of Arizona PLLC

Organization Multi-Specialty Clinic/Center · NPI 1801421656

Cleanslate Medical Group of Arizona PLLC is a Multi-Specialty Clinic/Center in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15255 N 40th St Ste 135
Phoenix, AZ 85032-4682
Phone: (480) 417-4215
Fax: (833) 279-7074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1801421656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Smolarek — Cfo · (412) 999-5188
Other names Cleanslate Centers- North 40th Phoenix, Az.
NPI enumeratedMarch 11, 2020
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address8 Cadillac Dr Ste 300, Brentwood, TN 37027-5337

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