NPIMap

Organization Active NPI

Az Medical Resources LLC

  • Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1194222786
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AZ MEDICAL RESOURCES LLC
Practice address
235 E Warner Rd Ste 106
Gilbert, AZ 85296-2972
Phone
(480) 892-0321
Fax
(844) 318-0610
NPI assigned
Apr 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Garrett Blackwell
Title
Member/Manager
Phone
(480) 892-0321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

235 E Warner Rd Ste 106
Gilbert, AZ 85296-2972

Mailing address

235 E Warner Rd Ste 106
Gilbert, AZ 85296-2972
Phone (480) 892-0321

Other names 1

  • Prime Spine and Orthopedics Doing business as

National Provider Directory

National Provider Directory

Locations

235 E Warner Rd
Ste 106
Gilbert, AZ 85296
Phone (480) 889-1838

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1194222786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E WARNER RD STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962972",
            "telephone_number": "480-892-0321",
            "fax_number": "844-318-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E WARNER RD STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962972",
            "telephone_number": "480-892-0321",
            "fax_number": "844-318-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ MEDICAL RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "480-892-0321"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Spine and Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.