19TH AVENUE CLINIC LLC; NPI #1154606945

Contact Information

19TH AVENUE CLINIC LLC

5201 N 19TH AVE STE 100
PHOENIX, AZ 85015-2951

Phone: 602-795-1411
Fax: 602-795-1999
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for 19TH AVENUE CLINIC LLC

NPI #	`1154606945`
LBN Legal business name	19TH AVENUE CLINIC LLC
Authorized official	RENEE BISKUPSKI - (VP OF OPERATIONS)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/12/2011
Last updated	10/12/2011 - About 15 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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19TH AVENUE CLINIC LLC

Contact Information

Specialty

Urgent Care

NPI Profile & details for 19TH AVENUE CLINIC LLC

Reviews for 19TH AVENUE CLINIC LLC