Organization Active NPI

Arizona Centers for Orthobiologics, LLC

  • Ambulatory Surgical Clinic/Center
  • Tempe, AZ
National Provider Identifier
1356940274
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ARIZONA CENTERS FOR ORTHOBIOLOGICS, LLC
Practice address
610 E Baseline Rd Ste 103
Tempe, AZ 85283-1204
Phone
(480) 778-1400
Fax
(602) 297-6997
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Tina Mankin
Title
Administrator
Phone
(602) 510-3203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

610 E Baseline Rd Ste 103
Tempe, AZ 85283-1204

Mailing address

610 E Baseline Rd Ste 103
Tempe, AZ 85283-1204
Phone (480) 778-1400

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1356940274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E BASELINE RD STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831204",
            "telephone_number": "480-778-1400",
            "fax_number": "602-297-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E BASELINE RD STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831204",
            "telephone_number": "480-778-1400",
            "fax_number": "602-297-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CENTERS FOR ORTHOBIOLOGICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "MANKIN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-510-3203"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.