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

Active since October 09, 2012CLIA Certified · 9 labs
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012(602) 747-4000 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Sep 19, 2024, Sep 13, 2024 (3 updates tracked since 2024).

About Banner Occupational Health Arizona Llc NPPES

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

BANNER OCCUPATIONAL HEALTH ARIZONA LLC (NPI 1144572611) is a healthcare organization registered as an occupational medicine in Phoenix, Arizona and active in the NPI registry since October 2012. The organization holds 9 active CLIA laboratory certificates, maintains 11 additional practice locations, and lists Patrick Penrose, Vp Ambulatory Services, as its authorized official.

NPPES Registry Identity

NPI1144572611
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameBANNER OCCUPATIONAL HEALTH ARIZONA LLC
Location Address2901 N CENTRAL AVE STE 160Phoenix, AZ 85012-2702
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Phone(602) 747-4000
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialPatrick PenroseVp Ambulatory Services · (602) 747-4000
Enumeration DateOctober 9, 2012
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1144572611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
2901 N CENTRAL AVE STE 160, Phoenix, AZ 85012
Open in Google Maps ↗

Secondary Practice Locations 11

Location 15601 W Eugie Ave Ste 213Glendale, AZ 85304-1258 · Phone (602) 865-5618
Location 26021 N Oracle Rd Ste 107Tucson, AZ 85704-5331 · Phone (520) 694-2550
Location 39305 W Thomas Rd Ste 235Phoenix, AZ 85037-3363 · Phone (623) 327-4100
Location 41 N Central Ave Ste 105Phoenix, AZ 85004-4416 · Phone (602) 255-7520
Location 56323 S Rural Rd Ste 107Tempe, AZ 85283-2933 · Phone (480) 827-5632
Location 61979 W Ray RdChandler, AZ 85224-4007 · Phone (480) 827-5685
Location 74760 E Thunderbird Rd Ste 2Phoenix, AZ 85032-5589 · Phone (602) 229-2080
Location 82225 W Southern AveMesa, AZ 85202-4716 · Phone (480) 412-6374
Location 916430 W Yuma RdGoodyear, AZ 85338-3102 · Phone (623) 465-6405
Location 101641 E Guadalupe RdGilbert, AZ 85234-8168 · Phone (480) 513-3300
Location 111676 E McMurray Blvd Ste 2Casa Grande, AZ 85122-4798 · Phone (520) 381-6783

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA 9

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 Waiver 03D2300891

Banner Occupational Health-Arizona LLC · Glendale, AZ
Active · expires Mar 17, 2028
CLIA Number03D2300891
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorRon Teichman
Laboratory Phone(602) 865-5618
Laboratory LocationBanner Occupational Health-Arizona LLC5601 W Eugie Ave Ste 213, Glendale, AZ 85304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2300054

Banner Occupational Health-Arizona LLC · Chandler, AZ
Active · expires Mar 3, 2028
CLIA Number03D2300054
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorAnthony B. Campbell
Laboratory Phone(480) 827-5685
Laboratory LocationBanner Occupational Health-Arizona LLC1979 W Ray Rd, Chandler, AZ 85224
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D0967930

Banner Occupational Health Arizona LLC · Mesa, AZ
Active · expires Nov 28, 2027
CLIA Number03D0967930
Laboratory TypeMobile Laboratory
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorRonald F. Teichman
Laboratory Phone(480) 412-6374
Laboratory LocationBanner Occupational Health Arizona LLC2225 W Southern Ave, Mesa, AZ 85202
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2287431

Banner Occupational Health - Arizona LLC · Casa Grande, AZ
Active · expires Aug 13, 2027
CLIA Number03D2287431
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorErik Cohen
Laboratory Phone(520) 381-6783
Laboratory LocationBanner Occupational Health - Arizona LLC1676 E Mcmurray Blvd Ste 2, Casa Grande, AZ 85122
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2312098

Banner Occupational Health -Arizona LLC · Tempe, AZ
Active · expires Oct 2, 2026
CLIA Number03D2312098
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorRon Teichman
Laboratory Phone(480) 827-5632
Laboratory LocationBanner Occupational Health -Arizona LLC6323 S Rural Rd Ste 107, Tempe, AZ 85283
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2306975

Banner Occupational Health-Arizona LLC · Goodyear, AZ
Active · expires Jun 26, 2028
CLIA Number03D2306975
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorErik Cohen
Laboratory Phone(602) 839-3339
Laboratory LocationBanner Occupational Health-Arizona LLC16430 W Yuma Rd, Goodyear, AZ 85338
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

BANNER HEALTH
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER HOSPITAL BASED PHYSICIANS WEST LLC
Internal Medicine (Critical Care Medicine)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER HOME CARE COLORADO
Home Health
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Clinic/Center (Multi-Specialty)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER IMAGING SERVICES LLC
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER IMAGING SERVICES LLC
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER IMAGING SERVICES LLC
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
GEORGINA RUBAL-PEACE PHARMD
Pharmacist
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (520) 481-4280

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 Occupational Health Arizona LLC's NPI number?

The NPI number for Banner Occupational Health Arizona LLC is 1144572611. It was assigned to this organization in the NPPES registry on October 9, 2012.

Where is Banner Occupational Health Arizona LLC located?

Banner Occupational Health Arizona LLC is located at 2901 N Central Ave Ste 160, Phoenix, AZ 85012. The listed phone number is (602) 747-4000.

What is Banner Occupational Health Arizona LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Banner Occupational Health Arizona LLC hold CLIA laboratory certificates?

Yes. 9 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Banner Occupational Health Arizona LLC accept?

Health plans from Ambetter from Arizona Complete Health list Banner Occupational Health Arizona LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banner Occupational Health Arizona LLC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.