Organization · NPI-2

19th Avenue Clinic LLC

Clinic/Center, Urgent Care · Tempe, AZ

NPI number1811244601
StatusActive
Last updated in NPPESAug 10, 2012

Details

NPI
1811244601
Entity type
Organization (NPI-2)
Legal business name
19th Avenue Clinic LLC
Organization subpart
No
Enumeration date
Aug 10, 2012
Last updated
Aug 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QU0200X Clinic/Center, Urgent Care––Yes

Other names

  • Advanced Urgent Care (Doing Business As)

Practice location

1804 W Elliot Rd
Tempe, AZ 85284-1004

Phone 480-456-0444 · Fax 480-456-0449

Mailing address

Po Box 32950
Phoenix, AZ 85064-2950

Phone 602-275-6110 · Fax 602-242-3519

Authorized official

Renee L Biskupski
Vp Of Operations
6024331822

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