<Unavail>

LBN: Med 97 Llc
<Unavail> is an health care organization with primary practice located at 8260 W Indian School Rd Ste 1 & 2, Phoenix AZ 85033. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Med 97 Llc can be contacted via phone (623) 846-7122, or through Biskupski, Renee L via phone (602) 433-1822.

Contact Information

Primary practice address
8260 W Indian School Rd Ste 1 & 2 Phoenix AZ 85033
Phone: (623) 846-7122
Fax: (623) 846-7027
Website:
Map and Directions
Authorized official contact:
Name: Biskupski, Renee L
Phone: (602) 433-1822

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X OTC2677 Arizona

Profile Details

NPI number 1487631883
LBN Legal business name Med 97 Llc
DBA Doing business as <Unavail>
Authorized official Biskupski, Renee L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2005
Last updated Mar 19th, 2008 - about 18 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 1487631883 NPPES
Arizona MEDICAID 630667

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