National Provider Identifier Database

MED 97 LLC
Urgent Care


Contact Information

MED 97 LLC
8260 W INDIAN SCHOOL RD
STE 1 & 2
PHOENIX, AZ85033
Phone: 623-846-7122
Fax: 623-846-7027
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for MED 97 LLC

NPI Number 1487631883
Legal business name
LBN
MED 97 LLC
Authorized official RENEE BISKUPSKI - (VP OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 12/27/2005
Last updated 03/19/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC2677
  • AZ Medicaid: 630667

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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