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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 Specialty Code Provider Type

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for MED 97 LLC

NPI # 1487631883
LBN Legal business name MED 97 LLC
Authorized official RENEE BISKUPSKI - (VP OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2005
Last updated 03/19/2008 - About 18 years ago
Identifiers
AZ License # OTC2677
AZ Medicaid 630667
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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