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BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI
NPI 1306154943
Clinic/Center - Multi-Specialty in Bullhead City, AZ

Active since September 16, 2010CLIA Certified · 2 labs
2771 SILVER CREEK RD, SUITE 101, BULLHEAD CITY, AZ 86442(602) 839-4123 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Banner -- University Medical Center Phoenix Campus Liver Disease Servi NPPES

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

BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI (NPI 1306154943) is a healthcare organization registered as a multi-specialty in Bullhead City, Arizona and active in the NPI registry since September 2010. The organization holds 2 active CLIA laboratory certificates and lists Dennis E Dahlen, Sr Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1306154943
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI
Location Address2771 SILVER CREEK RD, SUITE 101Bullhead City, AZ 86442-7959
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Phone(602) 839-4123
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis E DahlenSr Vp Finance · (602) 747-4000
Enumeration DateSeptember 16, 2010
Last NPPES UpdateFebruary 26, 2015
✔ NPI 1306154943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2771 SILVER CREEK RD, Bullhead City, AZ 86442
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Other Identifiers 1

Medicare PINZ120301

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 Accreditation 03D0877172

Banner - University Medical Center Phoenix · Phoenix, AZ
Active · expires Aug 16, 2027
CLIA Number03D0877172
Laboratory TypeHospital
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorDr. Louis J. Novoa-Takara
Laboratory Phone(602) 839-3460
Laboratory LocationBanner - University Medical Center Phoenix1111 E Mcdowell Rd, Phoenix, AZ 85006
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 03D2166473

Banner - University Medical Center Phoenix · Phoenix, AZ
Active · expires May 16, 2027
CLIA Number03D2166473
Laboratory TypeSatellite Hospital Clinic
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorLouis D. Novoa-Takara
Laboratory Phone(602) 521-3700
Laboratory LocationBanner - University Medical Center Phoenix925 E Mcdowell, Phoenix, AZ 85006
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2030410

Banner Alzheimer's Institute · Phoenix, AZ
Active · expires Sep 26, 2027
CLIA Number03D2030410
Laboratory TypeResearch
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorPierre N. Tariot
Laboratory Phone(602) 839-6901
Laboratory LocationBanner Alzheimer's Institute901 E Willetta St 1st Floor, Phoenix, AZ 85006
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D0878467

Banner - University Medical Center Phoenix ER · Phoenix, AZ
Active · expires Jul 22, 2027
CLIA Number03D0878467
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorMoneesh Bhow
Laboratory Phone(602) 839-6968
Laboratory LocationBanner - University Medical Center Phoenix ER1111 E Mcdowell Rd ER Dept-Anc+2, Phoenix, AZ 85006
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D0957416

Banner - University Primary Care Physicians LLC · Phoenix, AZ
Active · expires Oct 8, 2026
CLIA Number03D0957416
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorHarvey Hsu
Laboratory Phone(602) 839-3927
Laboratory LocationBanner - University Primary Care Physicians LLC1300 N 12th St Ste 508, Phoenix, AZ 85006
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D1074048

Banner -University Physician Specialists Llc- Omfs · Phoenix, AZ
Expired · Jul 19, 2026
CLIA Number03D1074048
Laboratory TypeOutpatient Treatment Ctr
Certificate Effective DateJuly 20, 2024
Certificate Expiration DateJuly 19, 2026
Laboratory DirectorKarel De Leeeuw
Laboratory Phone(602) 521-4755
Laboratory LocationBanner -University Physician Specialists Llc- Omfs1441 N 12th St, 3rd Floor, Phoenix, AZ 85006
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DESERT TRAILS HOME HEALTH, LLC
Home Health
2771 SILVER CREEK RD, SUITE 107
BULLHEAD CITY, AZ 86442
Mohave County (928) 444-1010
DR. ANAYOCHUKWU UCHE M.D.
Internal Medicine (Infectious Disease)
2771 SILVER CREEK RD
BULLHEAD CITY, AZ 86442
Mohave County (928) 704-0222
MOHAVE PULMONARY AND SLEEP DISORDER CLINIC, INC
Specialist
2771 SILVER CREEK RD, SUITE 105
BULLHEAD CITY, AZ 86442
Mohave County (928) 758-2002

Frequently Asked Questions

What is BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI's NPI number?

The NPI number assigned to this healthcare provider is 1306154943, enumerated as an "organization" on September 16, 2010.

Where is the provider located?

The provider is located at 2771 SILVER CREEK RD SUITE 101 BULLHEAD CITY, AZ 86442 and the phone number is (602) 839-4123.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

What insurance does BANNER -- UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVI accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.