BANNER UNIVERSITY MEDICAL GROUP ADULT SLEEP LLC NPI 1619567922

NPI Information

NPI: 1619567922
Provider Name: BANNER UNIVERSITY MEDICAL GROUP ADULT SLEEP, LLC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
755 E MCDOWELL RD ANNEX BLDG
PHOENIX, AZ
ZIP 85006
Phone: (602) 521-3501
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BANNER UNIVERSITY MEDICAL GROUP ADULT SLEEP, LLC is a sleep disorder diagnostic clinic center in Phoenix, AZ. BANNER UNIVERSITY MEDICAL GROUP ADULT SLEEP, LLC NPI is 1619567922. The provider is registered as an organization entity type.

The provider's business location address is:

755 E MCDOWELL RD ANNEX BLDG
PHOENIX, AZ
ZIP 85006-502
Phone: (602) 521-3501
Fax: (480) 655-2565

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 enumeration date for this NPI number is 1/20/2021 and was last updated on 2/8/2022.

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	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			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: 11/14/2023

NPI Synchronization or Removal

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