1. Home
  2. Directory
  3. Arizona
  4. Peoria
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
NPI 1275802829
Durable Medical Equipment & Medical Supplies in Peoria, AZ

Active since December 27, 2011CLIA 03D2070425 · Waiver
13760 N 93RD AVE, PEORIA, AZ 85381(623) 876-3800 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Banner Physician Specialists Arizona Llc NPPES

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

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC (NPI 1275802829) is a healthcare organization registered as a durable medical equipment & medical supplies in Peoria, Arizona and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through December 15, 2027 and lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1275802829
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Location Address13760 N 93RD AVEPeoria, AZ 85381-4201
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(623) 876-3800
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateDecember 27, 2011
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1275802829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
13760 N 93RD AVE, Peoria, AZ 85381
Open in Google Maps ↗

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 03D2070425

Banner Physician Specialists Arizona LLC · Peoria, AZ
Active · expires Dec 15, 2027
CLIA Number03D2070425
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorMichael Koss
Laboratory Phone(623) 876-3840
Laboratory LocationBanner Physician Specialists Arizona LLC13640 N Plaza Del Rio Blvd, Peoria, AZ 85381
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

UNITED HEALTHY PERMANENTE, INC.
Hospice Care, Community Based
13760 N 93RD AVE, SUITE 105B
PEORIA, AZ 85381
Maricopa County (844) 400-0007
FORDYCE W ANDERSON PT
Physical Therapist
13760 N 93RD AVE, STE 107
PEORIA, AZ 85381
Maricopa County (623) 876-3952
STEPHEN R HEMPELMAN MD
Psychiatry & Neurology (Neurology)
13760 N 93RD AVE, STE 101
PEORIA, AZ 85381
Maricopa County (623) 876-3940
BANNER ARIZONA MEDICAL CLINIC LTD
Durable Medical Equipment & Medical Supplies
13760 N 93RD AVE
PEORIA, AZ 85381
Maricopa County (623) 876-3952
JAGVEER S SANDHU MD
Psychiatry & Neurology (Psychiatry)
13760 N 93RD AVE, STE 101
PEORIA, AZ 85381
Maricopa County (623) 876-3940
UNITED HEALTHY PERMANENTE, INC.
Home Health
13760 N 93RD AVE, SUITE 105A
PEORIA, AZ 85381
Maricopa County (844) 400-0005
CHETNA H SHAH PT
Physical Therapist
13760 N 93RD AVE, STE 107
PEORIA, AZ 85381
Maricopa County (623) 876-3952
ERNEST FRANKLIN DELMOE DDS
Dentist (General Practice)
13760 N 93RD AVE, SUITE 111
PEORIA, AZ 85381
Maricopa County (623) 933-6010

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 Physician Specialists Arizona LLC's NPI number?

The NPI number for Banner Physician Specialists Arizona LLC is 1275802829. It was assigned to this organization in the NPPES registry on December 27, 2011.

Where is Banner Physician Specialists Arizona LLC located?

Banner Physician Specialists Arizona LLC is located at 13760 N 93rd Ave, Peoria, AZ 85381. The listed phone number is (623) 876-3800.

What is Banner Physician Specialists Arizona LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Banner Physician Specialists Arizona LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2070425) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banner Physician Specialists Arizona LLC was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.