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BANNER URGENT CARE SERVICES, LLC
NPI 1396217915
Clinic/Center - Urgent Care in Goodyear, AZ

Active since December 20, 2018CLIA 03D2122236 · Waiver
16430 W YUMA RD, GOODYEAR, AZ 85338(623) 465-6405 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, Jan 27, 2022, Dec 20, 2018 (3 updates tracked since 2018).

About Banner Urgent Care Services, Llc NPPES

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

BANNER URGENT CARE SERVICES, LLC (NPI 1396217915) is a healthcare organization registered as an urgent care in Goodyear, Arizona and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through November 21, 2026 and lists Brian Standage, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396217915
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBANNER URGENT CARE SERVICES, LLC
Location Address16430 W YUMA RDGoodyear, AZ 85338-3102
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(623) 465-6405
Organization SubpartYesParent: Banner Health
Authorized OfficialBrian StandageExecutive Director · (602) 747-4000
Enumeration DateDecember 20, 2018
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1396217915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
16430 W YUMA RD, Goodyear, AZ 85338
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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 03D2122236

Banner Urgent Care Services LLC · Goodyear, AZ
Active · expires Nov 21, 2026
CLIA Number03D2122236
Laboratory TypeUrgent Care
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorRobert Johns
Laboratory Phone(623) 419-2418
Laboratory LocationBanner Urgent Care Services 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 5

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

MRS. MICAYLA NORIAN
Nurse Practitioner
16430 W YUMA RD
GOODYEAR, AZ 85338
Maricopa County (623) 465-6405
JESSIE LYN STARK FNP-C
Nurse Practitioner (Family)
16430 W YUMA RD
GOODYEAR, AZ 85338
Maricopa County (623) 465-6405
ERIC MOSOKOBE OGARI FNP
Nurse Practitioner (Family)
16430 W YUMA RD
GOODYEAR, AZ 85338
Maricopa County (623) 465-6405
ALISHA RENEE SAWYER FNP-C
Nurse Practitioner (Primary Care)
16430 W YUMA RD
GOODYEAR, AZ 85338
Maricopa County (623) 465-6405
DIANA HOULE P.A.
Physician Assistant
16430 W YUMA RD
GOODYEAR, AZ 85338
Maricopa County (623) 465-6405

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 Urgent Care Services, LLC's NPI number?

The NPI number for Banner Urgent Care Services, LLC is 1396217915. It was assigned to this organization in the NPPES registry on December 20, 2018.

Where is Banner Urgent Care Services, LLC located?

Banner Urgent Care Services, LLC is located at 16430 W Yuma Rd, Goodyear, AZ 85338. The listed phone number is (623) 465-6405.

What is Banner Urgent Care Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Banner Urgent Care Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2122236) is associated with this NPI, valid through November 21, 2026. 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 Urgent Care Services, LLC was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.