Arizona Centers for Orthobiologics, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ARIZONA CENTERS FOR ORTHOBIOLOGICS, LLC

Practice address

9475 E Ironwood Square Dr Ste 100
Scottsdale, AZ 85258-4576

Phone

(480) 778-1400

NPI assigned

Sep 28, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tina Mankin

Title

Administrator/Director of Nursing

Phone

(602) 510-3203

Specialties & licenses 2

Addresses

Tax ID family

Arizona Centers for Orthobiologics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Arizona Centers for Orthobiologics, LLC

  • Ambulatory Surgical Clinic/Center
  • Tempe, AZ
  • NPI 1356940274
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1003423609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 E IRONWOOD SQUARE DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584576",
            "telephone_number": "480-778-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 E IRONWOOD SQUARE DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584576",
            "telephone_number": "480-778-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CENTERS FOR ORTHOBIOLOGICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "MANKIN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "602-510-3203"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arizona Center for Oral Health PLLC
• Arizona Center for Pain Relief, PLLC
• Arizona Center for Spine, Physical Medicine and Rehabilitation, PC
• Arizona Colorectal Surgery PLLC
• Arizona Counseling and Therapy LLC
• Arizona Craniofacial & Plastic Surgery Center PC
• Arizona Cryogen Inc
• Arizona CVS Stores LLC

• All providers in Scottsdale, AZ
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.