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BANNER MEDICAL GROUP PEDIATRIC SLEEP, LLC
NPI 1104416429
Clinic/Center - Sleep Disorder Diagnostic in Casa Grande, AZ

Active since January 20, 2021
1828 E FLORENCE BLVD BLDG C STE 136, CASA GRANDE, AZ 85122(520) 381-6282(520) 381-6051 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2021, Jan 20, 2021 (2 updates tracked since 2021).

About Banner Medical Group Pediatric Sleep, Llc NPPES

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

BANNER MEDICAL GROUP PEDIATRIC SLEEP, LLC (NPI 1104416429) is a healthcare organization registered as a sleep disorder diagnostic in Casa Grande, Arizona and active in the NPI registry since January 2021. The organization lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104416429
Entity TypeOrganization
Primary Taxonomy261QS1200X
Legal Business NameBANNER MEDICAL GROUP PEDIATRIC SLEEP, LLC
Location Address1828 E FLORENCE BLVD BLDG C STE 136Casa Grande, AZ 85122
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(520) 381-6282
Fax(520) 381-6051
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateJanuary 20, 2021
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
✔ NPI 1104416429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Sleep Disorder DiagnosticAmbulatory Health Care Facilities
Taxonomy Code261QS1200X
1828 E FLORENCE BLVD BLDG C STE 136, Casa Grande, AZ 85122
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Other Providers at the Same Location NPPES

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

BANNER MEDICAL GROUP ADULT SLEEP, LLC
Clinic/Center (Sleep Disorder Diagnostic)
1828 E FLORENCE BLVD BLDG C STE 136
CASA GRANDE, AZ 85122
Pinal County (520) 381-6282

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 Medical Group Pediatric Sleep, LLC's NPI number?

The NPI number for Banner Medical Group Pediatric Sleep, LLC is 1104416429. It was assigned to this organization in the NPPES registry on January 20, 2021.

Where is Banner Medical Group Pediatric Sleep, LLC located?

Banner Medical Group Pediatric Sleep, LLC is located at 1828 E Florence Blvd Bldg C Ste 136, Casa Grande, AZ 85122. The listed phone number is (520) 381-6282.

What is Banner Medical Group Pediatric Sleep, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Sleep Disorder Diagnostic, with taxonomy code 261QS1200X.

When was this NPI record last updated?

The NPPES record for Banner Medical Group Pediatric Sleep, LLC was last updated on December 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.