Banner Physician Super Specialists Arizona Llc
LBN: Banner Physician Super Specialists Arizona Llc
Banner Physician Super Specialists Arizona Llc is an health care organization with primary practice located at 5310 W Thunderbird Rd Ste 214 , Glendale AZ 85306-4722. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Ambulatory Health Care Facilities / Multi-Specialty. Dietary & Nutritional Service Providers / Nutrition, Education is the primary health care specialty.
Banner Physician Super Specialists Arizona Llc can be contacted via phone (602) 865-4480, or through Laraway, Dennis via phone (602) 747-4000.
Contact Information
Primary practice address
5310 W Thunderbird Rd Ste 214
Glendale AZ 85306-4722
Phone: (602) 865-4480
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
NPI number | 1578125738 |
---|---|
LBN Legal business name | Banner Physician Super Specialists Arizona Llc |
DBA Doing business as | |
Authorized official | Laraway, Dennis |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jul 8th, 2019 |
Last updated | Dec 28th, 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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