OrganizationActive
19th Avenue Clinic LLC
NPI 1053667709 · Urgent Care Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1053667709
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Renee Biskupski, Vp of Operations
Practice location
835 W University Dr
Mesa, AZ 85201-5555
Phone: (480) 664-6007
Fax: (480) 664-6017
Mailing address
Po Box 32950
Phoenix, AZ 85064-2950
Registry dates
- Enumerated
- 2012-07-31
- Last updated
- 2012-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.