Sonoran Health Equipment & Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SONORAN HEALTH EQUIPMENT & SUPPLIES, LLC

Practice address

3101-3111 N Central Ave
A211
Phoenix, AZ 85012-1234

Phone

(602) 842-3155

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By 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

Mitchell Pantelides

Title

Owner

Phone

(602) 842-3155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1760219257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101-3111 N CENTRAL AVE",
            "address_2": "A211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121234",
            "telephone_number": "602-842-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101-3111 N CENTRAL AVE",
            "address_2": "A211",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121234",
            "telephone_number": "602-842-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN HEALTH EQUIPMENT & SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "PANTELIDES",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-842-3155"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sonoran Pain and Wellness, PLLC
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• Durable Medical Equipment & Medical Supplies in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.