BANNER OCCUPATIONAL HEALTH ARIZONA LLC
NPI 1144572611
Clinic/Center - Occupational Medicine in Phoenix, AZ

NPI Status: Active since October 09, 2012

Contact Information

2901 N CENTRAL AVE STE 160
PHOENIX, AZ
ZIP 85012
Phone: (602) 747-4000

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Occupational Medicine
Accepts Insurance
CLIA Number: 03D2300891
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 03-17-2028

About BANNER OCCUPATIONAL HEALTH ARIZONA LLC

This page provides the complete NPI Profile along with additional information for Banner Occupational Health Arizona Llc, a provider established in Phoenix, Arizona operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1144572611 assigned on October 2012. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Patrick Penrose (Vp Ambulatory Services)

NPI: 1144572611
Provider Name: BANNER OCCUPATIONAL HEALTH ARIZONA LLC
Entity Type: Organization
Location Address: 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Location Phone: (602) 747-4000
Mailing Address: 1441 N 12TH ST PHOENIX, AZ 85006
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 10-09-2012
Last Update Date: 04-15-2026
Code Navigator

Location Map

Secondary Locations

9305 W Thomas Rd Ste 235
Phoenix, AZ 85037
(623) 327-4100
1676 E McMurray Blvd Ste 2
Casa Grande, AZ 85122
(520) 381-6783
6021 N Oracle Rd Ste 107
Tucson, AZ 85704
(520) 694-2550
1979 W Ray Rd
Chandler, AZ 85224
(480) 827-5685
2225 W Southern Ave
Mesa, AZ 85202
(480) 412-6374
16430 W Yuma Rd
Goodyear, AZ 85338
(623) 465-6405
4760 E Thunderbird Rd Ste 2
Phoenix, AZ 85032
(602) 229-2080
5601 W Eugie Ave Ste 213
Glendale, AZ 85304
(602) 865-5618
1 N Central Ave Ste 105
Phoenix, AZ 85004
(602) 255-7520
6323 S Rural Rd Ste 107
Tempe, AZ 85283
(480) 827-5632
1641 E Guadalupe Rd
Gilbert, AZ 85234
(480) 513-3300

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Occupational Medicine
Taxonomy Code: 261QX0100X
Type: Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Arizona Complete Health

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Standard Expanded Bronze - HMO
Standard Expanded Bronze + Vision + Adult Dental - HMO
Standard Gold - HMO
Standard Gold + Vision + Adult Dental - HMO
Standard Silver - HMO
Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: PATRICK PENROSE
Authorized Official Title: VP AMBULATORY SERVICES
Authorized Official Phone: (602) 747-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 03D2300891
Facility Type: Physician Office
Certificate Effective Date: March 18, 2026
Certificate Expiration Date: March 17, 2028
Laboratory Director: RON TEICHMAN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Banner Occupational Health Arizona Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144572611, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 8

Pos 4

Unchanged

Pos 5

Doubled → 10 → 1 + 0

Pos 6

Unchanged

Pos 7

Doubled → 4

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 1 + 0 + 7 + 4 + 6 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1

This NPI is valid

The calculated check digit is 1, which matches the last digit of 1144572611.