PREMIUM ADVISORS NPI 1831870617

NPI Information

  • NPI: 1831870617
  • Provider Name: PREMIUM ADVISORS
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 6314 SOUTH 54TH LANE, LAVEEN VILLAGE, AZ, USA
    LAVEEN, AZ
    ZIP 85339
  • Phone: (602) 317-1006

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NPI Details

PREMIUM ADVISORS is a health service clinic center in Laveen, AZ. PREMIUM ADVISORS NPI is 1831870617. The provider is registered as an organization entity type.

The provider's business location address is:

6314 SOUTH 54TH LANE, LAVEEN VILLAGE, AZ, USA
LAVEEN, AZ
ZIP 85339
Phone: (602) 317-1006

The provider's authorized official is Destiny Carter .
The authorized official title is Owner and has the following contact phone number (602) 317-1006.

The enumeration date for this NPI number is 7/26/2023 and was last updated on 7/26/2023.

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
1261QH0100XClinic/CenterHealth ServiceYes

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: 11/21/2025

NPI Synchronization or Removal

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