BANNER ARIZONA MEDICAL CLINIC LTD


Address: 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846
Phone: 6238763995

BANNER ARIZONA MEDICAL CLINIC LTD (NPI# 1245361773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245361773
Entity Type Organization
Organization Name BANNER ARIZONA MEDICAL CLINIC LTD
Other Organization Name ALAN GROBMAN MD LABORATORY
Practice Address 13640 N Plaza Del Rio Blvd
Peoria
AZ 85381-4846
Practice Telephone 6238763995
Practice Fax Number 6238766957
Mailing Telephone 6238763800
Mailing Fax Number 6239729590
Enumeration Date 2007-03-08
Last Update Date 2008-03-25
Authorized Official Name MARGARET BURKE (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 6238763967
Is Organization Subpart Y
Parent Organization Name BANNER ARIZONA MEDICAL CLINIC LTD

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory AZ Laboratories

Other Provider/Organization Names

Other Name Type Code
Alan Grobman MD Laboratory Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780715698 Banner Arizona Medical Clinic Ltd Prosthetic/Orthotic Supplier 9165 W Thunderbird Road, Peoria, AZ 85381 2007-03-09
1952432866 Banner Arizona Medical Clinic Ltd Prosthetic/Orthotic Supplier 14416 W Meeker Blvd, Sun City West, AZ 85375-5284 2007-03-09
1225169188 Banner Arizona Medical Clinic Ltd Prosthetic/Orthotic Supplier 14420 W Meeker Blvd, Sun City West, AZ 85375-5286 2007-03-09
1578694055 Banner Arizona Medical Clinic Ltd Prosthetic/Orthotic Supplier 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2007-03-08
1447381207 Banner Arizona Medical Clinic Ltd Prosthetic/Orthotic Supplier 14418 W Meeker Blvd, Sun City West, AZ 85375-5283 2007-03-07
1568593325 Banner Arizona Medical Clinic Ltd Prosthetic/Orthotic Supplier 10401 W Thunderbird Blvd, Ste 209, Sun City, AZ 85351-3004 2007-03-07
1487785002 Banner Arizona Medical Clinic Ltd Prosthetic/Orthotic Supplier 13760 N 93rd Ave, Peoria, AZ 85381-4201 2007-03-07
1750347936 Banner Arizona Medical Clinic Ltd Clinic/Center 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2006-04-25

Office Location

Street Address 13640 N PLAZA DEL RIO BLVD
City PEORIA
State AZ
Zip Code 85381-4846

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649279654 John Peter Kieley Internal Medicine 13640 N Plaza Del Rio Blvd, Suite 220, Peoria, AZ 85381-4846 2005-07-20
1366913618 Krishna Keshav Nurse Practitioner 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 2018-12-16
1871062158 Samantha Mae Boartfield Pharmacist 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2018-11-16
1790236487 Israa Al-sayyed Physician Assistant 13640 N Plaza Del Rio Blvd, Ste 340, Peoria, AZ 85381-4846 2016-10-18
1326408444 Banner Pharmacy Services LLC Pharmacy 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2016-03-02
1801278981 Shin Jung Yoon Family Medicine 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381 2015-06-24
1831584044 Michelle Obillo Prestoza Family Medicine 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2015-04-03
1578967162 Tina Marino Nurse Practitioner 13640 N Plaza Del Rio Blvd, Suite 230, Peoria, AZ 85381-4846 2014-10-10
1396156139 Banner Health Non-Pharmacy Dispensing Site 13640 N Plaza Del Rio Blvd, 3rd Floor, Suite 350, Peoria, AZ 85381-4846 2014-05-14
1932522836 Deborah L. Burns Registered Nurse 13640 N Plaza Del Rio Blvd, 210, Peoria, AZ 85381-4846 2014-01-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932712122 Vicki L Grenier Registered Nurse 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 2020-08-26
1568934107 Earthwalk Wellness Group, LLC Social Worker 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 2018-12-20
1316412059 John & Biljana Feeley Dba J & B Assisted Living IIi Inc Community Based Residential Treatment Facility, Mental Illness 7331 W Sweetwater Avenue, Peoria, AZ 85381 2018-10-09
1467958611 Arizona Community Pharmacy Pharmacy 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 2018-04-04
1083112106 Marissa Lynn Desjardins Physical Therapist 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 2018-01-23
1235651399 Power Back Batteries LLC Durable Medical Equipment & Medical Supplies 9054 West Lisbon Ave, Peoria, AZ 85381 2017-07-11
1457897027 Sonoran Sky Community Services Community Based Residential Treatment Facility, Mental Illness 7524 W. Alexandria Way, Peoria, AZ 85381 2017-01-06
1386023448 Scott Boone Registered Nurse 7715 W Watson Ln, Peoria, AZ 85381 2015-05-22
1881084838 Pinnacle Women's Center LLC Obstetrics & Gynecology 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 2015-01-29
1245637081 Kathi Locke Counselor 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 2014-11-21
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861589376 Sonora Quest Laboratories, LLC Clinical Medical Laboratory 13760 N 93rd Ave Ste 107, Peoria, AZ 85381-4260 2006-10-06
1700207750 Sonora Quest Laboratories, LLC Clinical Medical Laboratory 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2013-12-18
1649544362 Banner Primary Care Physicians Arizona LLC Clinical Medical Laboratory 13640 N Plaza Del Rio Blvd, Ste 102, Peoria, AZ 85381-4846 2012-02-27
1497998017 Touchstone Imaging of Peoria, LLC Clinical Medical Laboratory 6708 N Knoxville Ave, Suite 2, Peoria, IL 61614-2862 2009-04-13
1932310026 Saint Francis Medical Center Clinical Medical Laboratory 530 Ne Glen Oak Ave, Peoria, IL 61603-3133 2007-05-24
1871610030 Lakeview Lab Clinical Medical Laboratory 13090 N 94th Dr, Peoria, AZ 85381-4256 2007-03-23
1497785547 Arizona Medical Clinic, Ltd. Clinical Medical Laboratory 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 2006-07-04
1194711234 Comprehensive Hemostasis and Thrombosis Institute Clinical Medical Laboratory 4727 N Sheridan Rd, Peoria, IL 61614-5925 2005-09-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588261804 Cov19 Plus Testing Laboratory Clinical Medical Laboratory 793 N Alma School Rd # D1, Chandler, AZ 85224-3681 2020-10-09
1760089080 Cov10 Plus Testing Laboratory Clinical Medical Laboratory 590 N Alma School Rd Ste 7, Chandler, AZ 85224-4382 2020-10-09
1841807492 Prn Diagnostics LLC Clinical Medical Laboratory 7007 E Main St, Mesa, AZ 85207-8204 2020-09-28
1841803939 Sochilt Brown Clinical Medical Laboratory 41810 N Venture Dr Ste 152, Anthem, AZ 85086-3169 2020-08-28
1043821051 Spectacular Med LLC Clinical Medical Laboratory 9989 N 95th St, Scottsdale, AZ 85258-4596 2020-08-12
1336757780 Saguaro Health & Security LLC Clinical Medical Laboratory 4165 N Craftsman Ct Ste A, Scottsdale, AZ 85251-3863 2020-07-21
1346868452 Covid Laboratories LLC Clinical Medical Laboratory 17727 N 92nd Way, Scottsdale, AZ 85255-6025 2020-07-06
1649890807 Promed Services LLC Clinical Medical Laboratory 6986 E Mary Dr, Tucson, AZ 85730-1713 2020-04-17
1780203638 Translational Genomics Research Institute Clinical Medical Laboratory 3051 W Shamrell Blvd Ste 106, Flagstaff, AZ 86005-9435 2020-04-10
1710512389 Path Analytics Laboratory LLC Clinical Medical Laboratory 13402 N Scottsdale Rd Ste B195, Scottsdale, AZ 85254-4066 2020-03-04
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Competitor

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City PEORIA
Zip Code 85381

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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