19TH AVENUE CLINIC LLC NPI 1407102163

NPI Information

NPI: 1407102163
Provider Name: 19TH AVENUE CLINIC LLC

Doing Business As: ADVANCED URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
3302 W THOMAS RD STE 10
PHOENIX, AZ
ZIP 85017
Phone: (602) 233-2900
Get Directions

19TH AVENUE CLINIC LLC is an urgent care clinic center in Phoenix, AZ. 19TH AVENUE CLINIC LLC NPI is 1407102163. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Urgent Care.

The provider's business location address is:

3302 W THOMAS RD STE 10
PHOENIX, AZ
ZIP 85017-605
Phone: (602) 233-2900
Fax: (602) 233-3897

The provider's authorized official is Renee L Biskupski .
The authorized official title is Vp Of Operations and has the following contact phone number (602) 433-1822.

The enumeration date for this NPI number is 7/31/2012 and was last updated on 7/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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