- Practice location
- 835 W University Dr, Mesa, AZ 85201-5555
- Phone
- 480-664-6007
- Fax
- 480-664-6017
- Last updated
- July 31, 2012
19TH Avenue Clinic LLC is a healthcare organization based in Mesa, AZ. 19TH Avenue Clinic LLC practices in Mesa, AZ. The NPI Number for 19TH Avenue Clinic LLC is 1053667709. The current practice location address for 19TH Avenue Clinic LLC is 835 W University Dr, Mesa, AZ 85201-5555 and can be reached out via phone at 480-664-6007 and via fax at 480-664-6017.
Provider Profile Details
- NPI Number
- 1053667709
- Provider Name
- 19TH Avenue Clinic LLC
- Provider Entity Type
- Organization
- Address
- 835 W University Dr, Mesa, AZ 85201-5555
- Phone Number
- 480-664-6007
- Fax Number
- 480-664-6017
- Primary Taxonomy
- Clinic/Center, Urgent Care · 261QU0200X
- Organization Subpart
- No
- Authorized Official
- Ms. Renee L Biskupski · Vp Of Operations · 602-433-1822
- Other Names
- Advanced Urgent Care (Doing Business As)
- Provider Enumeration Date
- July 31, 2012
- Last Update Date
- July 31, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 835 W University Dr
Mesa, AZ 85201-5555 - City
- Mesa
- State
- Arizona
- Zip
- 85201-5555
- Phone Number
- 480-664-6007
- Fax Number
- 480-664-6017
Provider Business Mailing Address Details
- Address
- Po Box 32950
Phoenix, AZ 85064-2950 - City
- Phoenix
- State
- AZ
- Zip
- 85064-2950
- Phone Number
- 602-275-6110
- Fax Number
- 602-242-3519
License Information
- Taxonomy
- Clinic/Center, Urgent Care · 261QU0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 19TH Avenue Clinic LLC?
The NPI number of 19TH Avenue Clinic LLC is 1053667709. It was assigned on July 31, 2012 and is currently active in the NPPES registry.
What is the specialty of 19TH Avenue Clinic LLC?
19TH Avenue Clinic LLC is registered under the primary taxonomy Clinic/Center, Urgent Care (code 261QU0200X).
Where does 19TH Avenue Clinic LLC practice?
The practice location is 835 W University Dr, Mesa, AZ 85201-5555. The office can be reached at 480-664-6007 (phone) or 480-664-6017 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053667709 directly on the NPPES registry website.