BANNER OCCUPATIONAL HEALTH ARIZONA LLC
NPI 1669015467
Clinic/Center - Occupational Medicine in Gilbert, AZ

NPI Status: Active since October 24, 2019

Contact Information

1920 N HIGLEY RD STE 108
GILBERT, AZ
ZIP 85234
Phone: (480) 543-3300

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • CLIA Number: 03D2296647
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-02-2028

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 Gilbert, Arizona operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1669015467 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
1669015467
Provider Name
BANNER OCCUPATIONAL HEALTH ARIZONA LLC
Entity Type
Organization
Location Address
1920 N HIGLEY RD STE 108 GILBERT, AZ 85234
Location Phone
(480) 543-3300
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
03D2296647
Facility Type
Physician Office
Certificate Effective Date
January 03, 2026
Certificate Expiration Date
January 02, 2028
Laboratory Director
DUNGCHI NGUYEN
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 1669015467, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
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 6 → 12 → 3 0 → 0 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 0 + 1 + 1 + 0 + 4 + 1 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1669015467.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
1920 N HIGLEY RD STE 108
GILBERT, AZ 85234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669015467, enumerated as an "organization" on October 24, 2019.

The provider is located at 1920 N HIGLEY RD STE 108 GILBERT, AZ 85234 and the phone number is (480) 543-3300.

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