NPIMap

Organization Active NPI

Mbi Industrial Medicine West

  • Occupational Medicine Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1659586733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
OTC-3912 Issued in AZ
Legal business name
MBI INDUSTRIAL MEDICINE WEST
Practice address
3501 W Osborn Rd
Phoenix, AZ 85019-4037
Phone
(602) 272-7676
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Heather Wahl
Title
HR Director
Phone
(602) 272-1162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X OTC-3912 AZ Primary

Addresses

Primary practice location

3501 W Osborn Rd
Phoenix, AZ 85019-4037

Mailing address

3501 W Osborn Rd
Phoenix, AZ 85019-4037
Phone (602) 272-7676

National Provider Directory

National Provider Directory
Tax ID family
Mbi Industrial Medicine East2 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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659586733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 W OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850194037",
            "telephone_number": "602-272-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850194037",
            "telephone_number": "602-272-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBI INDUSTRIAL MEDICINE WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "602-272-1162"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "AZ",
            "license": "OTC-3912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.