BANNER - UNIVERSITY SUPER SPECIALISTS LLC
NPI 1740650555
Clinic/Center - Multi-Specialty in Phoenix, AZ

Active since October 06, 2015CLIA 03D2117601 · Waiver
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012(602) 747-4000 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Sep 13, 2024, Mar 17, 2023 and 2 more (5 updates tracked since 2021).

About Banner - University Super Specialists Llc NPPES

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

BANNER - UNIVERSITY SUPER SPECIALISTS LLC (NPI 1740650555) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through August 18, 2026, maintains 5 additional practice locations, and lists Benjamin Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1740650555
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER - UNIVERSITY SUPER SPECIALISTS LLC
Location Address2901 N CENTRAL AVE STE 160Phoenix, AZ 85012-2702
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner University Medical Group
Authorized OfficialBenjamin SchwartzPresident · (602) 747-4000
Enumeration DateOctober 6, 2015
Last NPPES UpdateApril 17, 20265 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1740650555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · OncologyTaxonomy 261QX0200X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
2901 N CENTRAL AVE STE 160, Phoenix, AZ 85012

Secondary Practice Locations 5

Location 11441 N 12th St, 2 & 3 FloorsPhoenix, AZ 85006-2837 · Phone (844) 242-4664
Location 25757 W Thunderbird Rd Ste E250Glendale, AZ 85306-5613 · Phone (602) 865-4470
Location 3755 E McDowell RdPhoenix, AZ 85006-2506 · Phone (602) 521-3086
Location 41400 S Dobson RdMesa, AZ 85202-4707 · Phone (480) 412-3000
Location 51432 S Dobson Rd Ste 107Mesa, AZ 85202-4769 · Phone (480) 412-4100

Accepted Insurance

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 03D2117601

Banner - University Super Specialists LLC Adv Liver Disease/Transplant · Phoenix, AZ
Active · expires Aug 18, 2026
CLIA Number03D2117601
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorAlberto Ramos
Laboratory Phone(602) 521-2900
Laboratory LocationBanner - University Super Specialists LLC Adv Liver Disease/Transplant1441 N 12th St, 2nd Floor, Phoenix, AZ 85006
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 20

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

General Acute Care Hospital
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Internal Medicine (Critical Care Medicine)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Home Health
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Clinic/Center (Multi-Specialty)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Clinic/Center (Occupational Medicine)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012

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 - University Super Specialists LLC's NPI number?

The NPI number for Banner - University Super Specialists LLC is 1740650555. It was assigned to this organization in the NPPES registry on October 6, 2015.

Where is Banner - University Super Specialists LLC located?

Banner - University Super Specialists LLC is located at 2901 N Central Ave Ste 160, Phoenix, AZ 85012. The listed phone number is (602) 747-4000.

What is Banner - University Super Specialists LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Banner - University Super Specialists LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2117601) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner - University Super Specialists LLC accept?

Health plans from Ambetter from Arizona Complete Health list Banner - University Super Specialists LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banner - University Super Specialists LLC was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.