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SOUTHWEST FERTILITY CENTER NPI 1720226889


NPI Information

NPI: 1720226889
Provider Name: SOUTHWEST FERTILITY CENTER
Classification: Clinic/Center - 261QA0006X
Entity Type: Organization

Specialization: Ambulatory Fertility Facility

CLIA Number: 03D0675531

Address:
3125 N 32ND ST
SUITE 200
PHOENIX, AZ
ZIP 85018
Phone: (602) 956-7481
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SOUTHWEST FERTILITY CENTER is an ambulatory fertility facility clinic center in Phoenix, AZ. The provider is a fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) SOUTHWEST FERTILITY CENTER NPI is 1720226889. The provider is registered as an organization entity type.

The provider's business location address is:

3125 N 32ND ST
SUITE 200
PHOENIX, AZ
ZIP 85018-281
Phone: (602) 956-7481
Fax: (602) 956-7591

The provider's authorized official is Sujatha Gunnala .
The authorized official title is Medical Director and has the following contact phone number (602) 956-7481.

The CLIA number assigned to this NPI record is 03D0675531 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/28/2009 and was last updated on 1/28/2009.


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
1261QA0006XClinic/CenterAmbulatory Fertility Facility11933ARIZONAYes

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
1D44144MEDICARE UPINARIZONA

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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