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MAYO CLINIC ARIZONA NPI 1083079099


NPI Information

NPI: 1083079099
Provider Name: MAYO CLINIC ARIZONA

Doing Business As: MAYO CLINIC STORE - PHOENIX

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 03D1043137

Address:
5881 E. MAYO BLVD
#3-105
PHOENIX, AZ
ZIP 85054
Phone: (480) 301-8000
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MAYO CLINIC ARIZONA is a durable medical equipment medical supplies in Phoenix, AZ. The provider is 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. MAYO CLINIC ARIZONA NPI is 1083079099. The provider is registered as an organization entity type.
The provider Is Doing Business As Mayo Clinic Store - Phoenix.

The provider's business location address is:

5881 E. MAYO BLVD
#3-105
PHOENIX, AZ
ZIP 85054-504
Phone: (480) 301-8000

The provider's authorized official is Jeffrey Froisland .
The authorized official title is Cfo and has the following contact phone number (480) 301-8940.

The CLIA number assigned to this NPI record is 03D1043137 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/17/2015 and was last updated on 4/6/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 11/14/2023

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