NPIMap

Organization Active NPI

Arizona Rehab Campus, LLC

  • Clinical Medical Laboratory
  • Tucson, AZ
National Provider Identifier
1578020756
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ARIZONA REHAB CAMPUS, LLC
Practice address
6944 E Tanque Verde Rd
Tucson, AZ 85715-5308
Phone
(520) 526-1028
Fax
(520) 777-5752
NPI assigned
Feb 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Nicole Williams
Title
Claims MGR
Phone
(520) 526-1028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6944 E Tanque Verde Rd
Tucson, AZ 85715-5308

Mailing address

6944 E Tanque Verde Rd
Tucson, AZ 85715-5308
Phone (520) 526-1028

Other identifiers 1

IdentifierTypeStateIssuer
03D2126284MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nwilliam@azrehabcampus.com

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2126284Arizona Rehab Campus6944 E Tanque Verde Rd, Tucson, AZ 85715Certificate of waiverJun 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Arizona Rehab Campus5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

6944 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 526-1000

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1578020756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6944 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155308",
            "telephone_number": "520-526-1028",
            "fax_number": "520-777-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6944 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857155308",
            "telephone_number": "520-526-1028",
            "fax_number": "520-777-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA REHAB CAMPUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CLAIMS MGR",
        "authorized_official_telephone_number": "520-526-1028"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03D2126284",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwilliam@azrehabcampus.com",
            "affiliation": "N",
            "address_1": "6944 E Tanque Verde Rd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857155308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.