SUNNYSIDE MEDICENTER PC NPI 1912117904

NPI Information

NPI: 1912117904
Provider Name: SUNNYSIDE MEDICENTER PC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 03D0698782

Address:
3681 S PALO VERDE RD
TUCSON, AZ
ZIP 85713
Phone: (520) 750-8855
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SUNNYSIDE MEDICENTER PC is an occupational medicine clinic center in Tucson, AZ. SUNNYSIDE MEDICENTER PC NPI is 1912117904. The provider is registered as an organization entity type.

The provider's business location address is:

3681 S PALO VERDE RD
TUCSON, AZ
ZIP 85713-428
Phone: (520) 750-8855
Fax: (520) 750-9703

The provider's authorized official is Dennis L Thrasher .
The authorized official title is President and has the following contact phone number (520) 750-8855.

The CLIA number assigned to this NPI record is 03D0698782 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

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	261QX0100X	Clinic/Center	Occupational Medicine			Yes

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: 5/5/2024

NPI Synchronization or Removal

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