BANNER SURGERY CENTER - SPORTS MEDICINE
NPI 1154088490
Clinic/Center - Ambulatory Surgical in Scottsdale, AZ

Active since November 22, 2021CLIA 03D2282091 · Waiver
7400 N DOBSON RD STE 301, SCOTTSDALE, AZ 85256(602) 362-5107(602) 865-1865 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2023, Nov 22, 2021 (2 updates tracked since 2021).

About Banner Surgery Center - Sports Medicine NPPES

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

BANNER SURGERY CENTER - SPORTS MEDICINE (NPI 1154088490) is a healthcare organization registered as an ambulatory surgical in Scottsdale, Arizona and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through May 15, 2027 and lists Aric Burke, Director/officer, as its authorized official.

NPPES Registry Identity

NPI1154088490
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBSC 3 LLC
Location Address7400 N DOBSON RD STE 301Scottsdale, AZ 85256-2736
Mailing Address7400 N Dobson Rd Ste 301Scottsdale, AZ 85256-2736 · (602) 362-5107
Fax(602) 865-1865
Organization SubpartNo
Authorized OfficialAric BurkeDirector/officer · (480) 689-8403
Enumeration DateNovember 22, 2021
Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1154088490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
7400 N DOBSON RD STE 301, Scottsdale, AZ 85256

Other Names 1

Doing Business AsBanner Surgery Center - Sports Medicine

Accepted Insurance

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 Waiver 03D2282091

Bsc 3 LLC · Scottsdale, AZ
Active · expires May 15, 2027
CLIA Number03D2282091
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorMarijo Wienkers
Laboratory Phone(602) 362-5107
Laboratory LocationBsc 3 LLC7400 N Dobson Rd 301, Scottsdale, AZ 85256
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Incision or removal of spinal nerve 64772
Incision or removal of a spinal nerve is a surgical procedure aimed to relieve pain or improve function. This involves making a cut to access the spine and carefully removing or adjusting the nerve that's causing issues. It's performed under anesthesia and recovery time varies.
75 services27 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
47 services47 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
35 services34 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
28 services27 patients
Release of tendon connecting biceps muscle and shoulder using an endoscope 29828
This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.
24 services24 patients
Removal of extensive shoulder joint tissue using an endoscope 29823
This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
23 services23 patients

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 Bsc 3 LLC's NPI number?

The NPI number for Bsc 3 LLC is 1154088490. It was assigned to this organization in the NPPES registry on November 22, 2021. The provider is doing business as Banner Surgery Center - Sports Medicine.

Where is Bsc 3 LLC located?

Bsc 3 LLC is located at 7400 N Dobson Rd Ste 301, Scottsdale, AZ 85256. The listed phone number is (602) 362-5107.

What is Bsc 3 LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Bsc 3 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2282091) is associated with this NPI, valid through May 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bsc 3 LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Bsc 3 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 Bsc 3 LLC was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.