19TH Avenue Clinic LLC
Organization Active NPI Urgent Care Clinic/Center · Tempe, AZ
NPI 1811244601 · NPPES record last updated Aug 10, 2012
Key facts
- NPI
- 1811244601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- 19TH AVENUE CLINIC LLC
- Practice address
- 1804 W Elliot Rd
Tempe, AZ 85284-1004 - Phone
- (480) 456-0444
- Fax
- (480) 456-0449
- NPI assigned
- Aug 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Ms. Renee L Biskupski
- Title
- VP of Operations
- Phone
- (602) 433-1822
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1804 W Elliot Rd
Tempe, AZ 85284-1004
Mailing address
PO Box 32950
Phoenix, AZ 85064-2950
Phone (602) 275-6110
Other names
- ADVANCED URGENT CARE
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.