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PHOENIX MEDICAL GROUP PC NPI 1124251699


NPI Information

NPI: 1124251699
Provider Name: PHOENIX MEDICAL GROUP, PC

Doing Business As: PM SLEEP CENTER

Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

CLIA Number: 03D1005467

Address:
14877 W BELL RD
SUITE 100
SURPRISE, AZ
ZIP 85374
Phone: (623) 815-7800
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PHOENIX MEDICAL GROUP, PC is a sleep disorder diagnostic clinic center in Surprise, AZ. PHOENIX MEDICAL GROUP, PC NPI is 1124251699. The provider is registered as an organization entity type.
The provider Is Doing Business As Pm Sleep Center.

The provider's business location address is:

14877 W BELL RD
SUITE 100
SURPRISE, AZ
ZIP 85374-610
Phone: (623) 815-7800
Fax: (623) 815-7900

The provider's authorized official is Robert R Orr .
The authorized official title is President and has the following contact phone number (623) 815-7800.

The CLIA number assigned to this NPI record is 03D1005467 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2009 and was last updated on 8/31/2009.


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
1261QS1200XClinic/CenterSleep Disorder DiagnosticYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z22354MEDICARE PINARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.