BANNER UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVICES
NPI 1659749901
Clinic/Center - Multi-Specialty in Tucson, AZ
NPI Status: Active since September 03, 2015
Contact Information
265 W INA RD
TUCSON, AZ
ZIP 85704
Phone: (602) 839-7000
Fax: (602) 839-2606
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 03D2283278
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-04-2027
About BANNER UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVICES
This page provides the complete NPI Profile along with additional information for Banner University Medical Center Phoenix Campus Liver Disease Services, a provider established in Tucson, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1659749901 assigned on September 2015. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dennis Dahlen (Sr Vp Finance)
- NPI
- 1659749901
- Provider Name
- BANNER UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVICES
- Entity Type
- Organization
- Location Address
- 265 W INA RD TUCSON, AZ 85704
- Location Phone
- (602) 839-7000
- Location Fax
- (602) 839-2606
- Mailing Address
- 1441 N 12TH ST PHOENIX, AZ 85006
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-03-2015
- Last Update Date
- 09-10-2015
- Code Navigator
Location Map
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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 03D2283278
- Facility Type
- Physician Office
- Certificate Effective Date
- June 05, 2025
- Certificate Expiration Date
- June 04, 2027
- Laboratory Director
- MOHAB IBRAHIM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Banner University Medical Center Phoenix Campus Liver Disease Services 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.
Reviews for BANNER UNIVERSITY MEDICAL CENTER PHOENIX CAMPUS LIVER DISEASE SERVICES
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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 1659749901, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
TUCSON, AZ 85704
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659749901, enumerated as an "organization" on September 03, 2015.
The provider is located at 265 W INA RD TUCSON, AZ 85704 and the phone number is (602) 839-7000.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to verify.
