BANNER UNIVERSITY MEDICAL GROUP ADULT SLEEP, LLC – NPI #1619567922
Clinic/Center

BANNER UNIVERSITY MEDICAL GROUP ADULT SLEEP, LLC is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1619567922 to BANNER UNIVERSITY MEDICAL GROUP ADULT SLEEP, LLC on January 20, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS1200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Sleep Disorder Diagnostic

The NPI profile was previously updated about 4 years ago on Feb 08, 2022. 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 BANNER UNIVERSITY MEDICAL GROUP ADULT SLEEP, LLC below.

NPI Profile for
BANNER UNIVERSITY MEDICAL GROUP ADULT SLEEP, LLC

NPI Number
1619567922
Enumeration Date

(more than 5 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
BANNER UNIVERSITY MEDICAL GROUP ADULT SLEEP, LLC
Primary location
755 E MCDOWELL RD ANNEX BLDG
PHOENIX, AZ 85006-2502
Phone: (602) 521-3501 Fax: (480) 655-2565
Mailing address
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone: Fax:
Organization Subpart
Yes - BANNER UNIVERSITY MEDICAL GROUP ADULT SLEEP, LLC is subpart of another organization.
Authorized Official
DENNIS LARAWAY
CFO
Phone: (602) 747-4000
Updated
Certification Date
Feb 08, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QS1200X
- Clinic/Center / Sleep Disorder Diagnostic (Primary)

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.