Advanced Clinical Services, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

29610 Issued in AZ

Legal business name

ADVANCED CLINICAL SERVICES, LLC

Practice address

40 W Baseline Rd
Suite #105
Tempe, AZ 85283-1258

Phone

(480) 398-5555

NPI assigned

Jul 1, 2016

Last updated

Apr 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John W. Rittenour

Title

Managing Partner Authorized Officia

Phone

(480) 494-2466

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1437501400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W BASELINE RD",
            "address_2": "SUITE #105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831258",
            "telephone_number": "480-588-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W BASELINE RD",
            "address_2": "SUITE #105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831258",
            "telephone_number": "480-398-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "RITTENOUR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MANAGING PARTNER AUTHORIZED OFFICIA",
        "authorized_official_telephone_number": "480-494-2466"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "29610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.