Arizona Biologic Infusion Llc

LBN: Arizona Biologic Infusion Llc
Arizona Biologic Infusion Llc is an health care organization with primary practice located at 604 W Warner Rd Ste C4 , Chandler AZ 85225-2906. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Rheumatology is the primary health care specialty. Arizona Biologic Infusion Llc can be contacted via phone (480) 372-8200, or through Al-Khoudari, Amer via phone (480) 815-1100.

Contact Information

Primary practice address
604 W Warner Rd Ste C4 Chandler AZ 85225-2906
Phone: (480) 372-8200
Fax: (480) 372-8222
Website:
Map and Directions
Authorized official contact:
Name: Al-Khoudari, Amer Doctor of Medicine (MD)
Phone: (480) 815-1100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1639788284
LBN Legal business name Arizona Biologic Infusion Llc
DBA Doing business as
Authorized official Al-Khoudari, Amer Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 29th, 2020
Last updated May 6th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639788284 NPPES
Arizona MEDICAID 069024
Arizona MEDICAID 002601
Arizona MEDICAID 092299

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