BANNER OCCUPATIONAL HEALTH ARIZONA LLC NPI 1811530611

NPI Information

NPI: 1811530611
Provider Name: BANNER OCCUPATIONAL HEALTH ARIZONA LLC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 03D1039248

Address:
9305 W THOMAS RD STE 235
PHOENIX, AZ
ZIP 85037
Phone: (623) 327-4100
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BANNER OCCUPATIONAL HEALTH ARIZONA LLC is an occupational medicine clinic center in Phoenix, AZ. BANNER OCCUPATIONAL HEALTH ARIZONA LLC NPI is 1811530611. The provider is registered as an organization entity type.

The provider's business location address is:

9305 W THOMAS RD STE 235
PHOENIX, AZ
ZIP 85037-363
Phone: (623) 327-4100

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 03D1039248 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2019 and was last updated on 10/24/2019.

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	261QX0100X	Clinic/Center	Occupational Medicine			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

NPI Synchronization or Removal

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