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BANNER CANCER CENTER SPECIALISTS LLC NPI 1518253152


NPI Information

NPI: 1518253152
Provider Name: BANNER CANCER CENTER SPECIALISTS LLC
Classification: Clinic/Center - 261QX0200X
Entity Type: Organization

Specialization: Oncology

CLIA Number: 03D2125766

Address:
2946 E BANNER GATEWAY DRIVE
GILBERT, AZ
ZIP 85234
Phone: (480) 256-6444
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BANNER CANCER CENTER SPECIALISTS LLC is an oncology clinic center in Gilbert, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. BANNER CANCER CENTER SPECIALISTS LLC NPI is 1518253152. The provider is registered as an organization entity type.

The provider's business location address is:

2946 E BANNER GATEWAY DRIVE
GILBERT, AZ
ZIP 85234
Phone: (480) 256-6444

The provider's authorized official is Dennis Laraway .
The authorized official title is Cfo and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 03D2125766 - ancillary test site with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/22/2011 and was last updated on 12/23/2021.


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
1261QX0200XClinic/CenterOncologyYes

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.