BANNER OCCUPATIONAL HEALTH ARIZONA LLC
NPI 1194368993
Clinic/Center - Occupational Medicine in Chandler, AZ

NPI Status: Active since October 24, 2019

Contact Information

1979 W RAY RD
CHANDLER, AZ
ZIP 85224
Phone: (480) 827-5685

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • CLIA Number: 03D2300054
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-03-2028

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 Chandler, Arizona operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1194368993 assigned on October 2019. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Dennis Laraway (Cfo)

NPI
1194368993
Provider Name
BANNER OCCUPATIONAL HEALTH ARIZONA LLC
Entity Type
Organization
Location Address
1979 W RAY RD CHANDLER, AZ 85224
Location Phone
(480) 827-5685
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-24-2019
Last Update Date
10-24-2019
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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

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

DENNIS LARAWAY

Authorized Official Title
CFO
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
03D2300054
Facility Type
Physician Office
Certificate Effective Date
March 04, 2026
Certificate Expiration Date
March 03, 2028
Laboratory Director
ANTHONY B. CAMPBELL
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.

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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 1194368993, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 9 → 18 → 9 3 → 6 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 6 + 6 + 1 + 6 + 9 + 1 + 8 + 24 = 77

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

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1194368993.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194368993, enumerated as an "organization" on October 24, 2019.

The provider is located at 1979 W RAY RD CHANDLER, AZ 85224 and the phone number is (480) 827-5685.

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.