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

Active since October 24, 2019CLIA 03D2296647 · Waiver
1920 N HIGLEY RD STE 108, GILBERT, AZ 85234(480) 543-3300 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Banner Occupational Health Arizona Llc NPPES

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

BANNER OCCUPATIONAL HEALTH ARIZONA LLC (NPI 1669015467) is a healthcare organization registered as an occupational medicine in Gilbert, Arizona and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Dennis Laraway, Cfo, as its authorized official.

NPPES Registry Identity

NPI1669015467
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameBANNER OCCUPATIONAL HEALTH ARIZONA LLC
Location Address1920 N HIGLEY RD STE 108Gilbert, AZ 85234-1626
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(480) 543-3300
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis LarawayCfo · (602) 747-4000
Enumeration DateOctober 24, 2019
✔ NPI 1669015467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
1920 N HIGLEY RD STE 108, Gilbert, AZ 85234
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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 03D2296647

Banner Occupational Health-Arizona · Ehrenberg, AZ
Active · expires Jan 2, 2028
CLIA Number03D2296647
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorDungchi Nguyen
Laboratory Phone(480) 543-3300
Laboratory LocationBanner Occupational Health-Arizona1641 E Guadalupe Rd, Ehrenberg, AZ 85334
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LIGITA CENTORINO NP
Nurse Practitioner (Family)
1920 N HIGLEY RD STE 108
GILBERT, AZ 85234
Maricopa County (480) 256-6444

Frequently Asked Questions

What is BANNER OCCUPATIONAL HEALTH ARIZONA LLC's NPI number?

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

Where is the provider located?

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

What is the provider's specialty?

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