Banner Arizona Medical Clinic LTD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BANNER ARIZONA MEDICAL CLINIC LTD

Doing business as

Alan Grobman MD Laboratory

Practice address

13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846

Phone

(623) 876-3995

Fax

(623) 876-6957

NPI assigned

Mar 8, 2007

Organization subpart

Yes

Parent organization

BANNER ARIZONA MEDICAL CLINIC LTDAs reported in NPPES

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

Authorized official

Name

Margaret Burke

Title

Chief Financial Officer

Phone

(623) 876-3967

Specialties & licenses 1

Addresses

Other names 1

• Alan Grobman MD Laboratory Doing business as

Part of

Arizona Medical Clinic

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Banner Health

  dba Banner Casa Grande Medical Center

  • General Acute Care Hospital
  • Casa Grande, AZ
  • NPI 1003232976

  Member Of

  NPD member

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1245361773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13640 N PLAZA DEL RIO BLVD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814846",
            "telephone_number": "623-876-3800",
            "fax_number": "623-972-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 N PLAZA DEL RIO BLVD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814846",
            "telephone_number": "623-876-3995",
            "fax_number": "623-876-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER ARIZONA MEDICAL CLINIC LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER ARIZONA MEDICAL CLINIC LTD",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "623-876-3967"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alan Grobman MD Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Parmjeet Kumar Banghar, M.D.
• Renee Banke, RN, MSCJ
• Candace Raelynn Banks, M.A.
• Moustafa Banna, MD
• Banner Arizona ASC LLC (The Jon R. Hillegas Surgery Center)
• Banner Arizona Medical Clinic LTD
• Banner Arizona Medical Clinic LTD
• Banner Arizona Medical Clinic LTD
• Banner Arizona Medical Clinic LTD
• Banner Health (Banner Health Center Peoria)

• Clinical Medical Laboratory in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.