19TH Avenue Clinic LLC
Clinic/Center, Urgent Care in Mesa, Arizona
1053667709- 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. The NPI number for 19TH Avenue Clinic LLC is 1053667709. The current practice location address is 835 W University Dr, Mesa, AZ 85201-5555 and the office can be reached by phone at 480-664-6007 and by fax at 480-664-6017. The NPI was assigned on July 31, 2012 and the record was last updated in NPPES on July 31, 2012.
●Provider Profile Details
- NPI Number
- 1053667709
- Provider Name
- 19TH Avenue Clinic LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center, Urgent Care · 261QU0200X
- Organization Subpart
- No
- Authorized Official
- Ms. Renee L Biskupski · Vp Of Operations · 602-433-1822
- Enumeration Date
- July 31, 2012
- Last Update Date
- July 31, 2012
- NPI Status
- Active
- Other Names
- Advanced Urgent Care (Doing Business As)
◉Business Practice Location Address
- Address
- 835 W University Dr
Mesa, AZ 85201-5555 - City
- Mesa
- State
- Arizona
- ZIP
- 85201-5555
- Country
- US
- Phone Number
- 480-664-6007
- Fax Number
- 480-664-6017
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic/Center, Urgent Care | 261QU0200X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Mesa →?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 at npiregistry.cms.hhs.gov.