PREMIER REGENERATIVE CENTERS OF ARIZONA, PLLC – NPI #1679059984
Clinic/Center

PREMIER REGENERATIVE CENTERS OF ARIZONA, PLLC is an AHC clinic located in SCOTTSDALE, AZ. NPPES has assigned the NPI number 1679059984 to PREMIER REGENERATIVE CENTERS OF ARIZONA, PLLC on July 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 8 years ago on Jul 23, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMIER REGENERATIVE CENTERS OF ARIZONA, PLLC below.

NPI Profile for
PREMIER REGENERATIVE CENTERS OF ARIZONA, PLLC

NPI Number
1679059984
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMIER REGENERATIVE CENTERS OF ARIZONA, PLLC
Primary location
2629 N SCOTTSDALE RD STE 100
SCOTTSDALE, AZ 85257
Phone: (602) 510-3203 Fax: (602) 297-6997
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TINA MANKIN
ADMINISTRATOR
Phone: (602) 510-3203
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
AZ

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.