19TH Avenue Clinic LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

19TH AVENUE CLINIC LLC

Doing business as

Advanced Urgent Care

Practice address

1804 W Elliot Rd
Tempe, AZ 85284-1004

Phone

(480) 456-0444

Fax

(480) 456-0449

NPI assigned

Aug 10, 2012

Last updated

Aug 10, 2012By 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

Ms. Renee L Biskupski

Title

VP of Operations

Phone

(602) 433-1822

Specialties & licenses 1

Addresses

Other names 1

• ADVANCED URGENT CARE Doing business as

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1811244601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32950",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850642950",
            "telephone_number": "602-275-6110",
            "fax_number": "602-242-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 W ELLIOT RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841004",
            "telephone_number": "480-456-0444",
            "fax_number": "480-456-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "19TH AVENUE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "BISKUPSKI",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "602-433-1822",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Urgent Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.