BSC 3 LLC NPI 1154088490

NPI Information

NPI: 1154088490
Provider Name: BSC 3 LLC

Doing Business As: BANNER SURGERY CENTER - SPORTS MEDICINE

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
7400 N DOBSON RD STE 301
SCOTTSDALE, AZ
ZIP 85256
Phone: (602) 362-5107
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BSC 3 LLC is an ambulatory surgical clinic center in Scottsdale, AZ. BSC 3 LLC NPI is 1154088490. The provider is registered as an organization entity type.
The provider Is Doing Business As Banner Surgery Center - Sports Medicine.

The provider's business location address is:

7400 N DOBSON RD STE 301
SCOTTSDALE, AZ
ZIP 85256-736
Phone: (602) 362-5107
Fax: (602) 865-1865

The provider's authorized official is Aric Burke .
The authorized official title is Director/officer and has the following contact phone number (480) 689-8403.

The CLIA number assigned to this NPI record is 03D2281002 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2021 and was last updated on 8/16/2023.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			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: 4/28/2024

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