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ARROWHEAD PRO SLEEP LLC NPI 1578921466


NPI Information

NPI: 1578921466
Provider Name: ARROWHEAD PRO SLEEP LLC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

CLIA Number: 03D2179644

Address:
16222 N 59TH AVE
D170
GLENDALE, AZ
ZIP 85306
Phone: (602) 680-4540
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ARROWHEAD PRO SLEEP LLC is a sleep disorder diagnostic clinic center in Glendale, AZ. ARROWHEAD PRO SLEEP LLC NPI is 1578921466. The provider is registered as an organization entity type.

The provider's business location address is:

16222 N 59TH AVE
D170
GLENDALE, AZ
ZIP 85306-701
Phone: (602) 680-4540
Fax: (602) 926-2445

The provider's authorized official is Angela Lynn Kowaleski .
The authorized official title is Chief Administrator and has the following contact phone number (484) 695-2471.

The CLIA number assigned to this NPI record is 03D2179644 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2016 and was last updated on 2/17/2016.


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
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
1C57813MEDICARE UPINNEW JERSEY

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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