BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
NPI 1083324941
Clinic/Center - Radiology in Phoenix, AZ

Active since December 01, 2022CLIA 03D2301322 · Accreditation
1111 E MCDOWELL RD, PHOENIX, AZ 85006(602) 839-2000 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Banner - University Hospital Based Physicians Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC (NPI 1083324941) is a healthcare organization registered as a radiology in Phoenix, Arizona and active in the NPI registry since December 2022. The organization holds an CLIA Accreditation certificate valid through September 24, 2026 and lists Todd Werner, Division President, as its authorized official.

NPPES Registry Identity

NPI1083324941
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameBANNER - UNIVERSITY HOSPITAL BASED PHYSICIANS LLC
Location Address1111 E MCDOWELL RDPhoenix, AZ 85006-2612
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner -- University Medical Group
Authorized OfficialTodd WernerDivision President · (602) 747-4000
Enumeration DateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
NPI 1083324941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1111 E MCDOWELL RD, Phoenix, AZ 85006

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 03D2301322

Banner-University Hospital Based Physicians LLC · Phoenix, AZ
Active · expires Sep 24, 2026
CLIA Number03D2301322
Laboratory TypeNuclear Medicine
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorGamal Sidarous
Laboratory Phone(602) 839-2000
Laboratory LocationBanner-University Hospital Based Physicians LLC1111 E Mcdowell Rd (nuclear Med), Phoenix, AZ 85006
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Internal Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Psychiatry & Neurology (Neurology)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant (Medical)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Nurse Practitioner (Acute Care)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Pharmacist
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN MEDICAL CENTER PHARMACY
PHOENIX, AZ 85006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner - University Hospital Based Physicians LLC's NPI number?

The NPI number for Banner - University Hospital Based Physicians LLC is 1083324941. It was assigned to this organization in the NPPES registry on December 1, 2022.

Where is Banner - University Hospital Based Physicians LLC located?

Banner - University Hospital Based Physicians LLC is located at 1111 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (602) 839-2000.

What is Banner - University Hospital Based Physicians LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Does Banner - University Hospital Based Physicians LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 03D2301322) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banner - University Hospital Based Physicians LLC was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.