03D2112727 CLIA NUMBER - BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

Laboratory Demographics

CLIA Number: 03D2112727

Facility Name: BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

Facility Address:
14416 W MEEKER BLVD, STE 201
SUN CITY WEST, AZ
ZIP 85375
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Facility Phone Number: (623) 876-3800

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1548538069

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	03D2112727
LAB Type	PHYSICIAN OFFICE
Facility Name	BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Street	14416 W MEEKER BLVD, STE 201
City	SUN CITY WEST
State	AZ
ZIP	85375
Phone	(623) 876-3800

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This page was last updated on: 5/11/2023