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

North Glendale Regenerative Medicine Clinic PLLC

Organization Ambulatory Surgical Clinic/Center · NPI 1275302291

North Glendale Regenerative Medicine Clinic PLLC is an Ambulatory Surgical Clinic/Center in Glendale, Arizona. Registered with an NPI since 2024.

In the registry since
2024
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

18301 N 79th Ave Ste F168
Glendale, AZ 85308-6045
Phone: (623) 544-9090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1275302291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seth Clark — Owner · (801) 448-4841
NPI enumeratedJanuary 2, 2024
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045

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