OrganizationActive
Banner Medical Group Pediatric Sleep, LLC
NPI 1104416429 · Sleep Disorder Diagnostic Clinic/Center · Casa Grande, AZ
Provider details
- NPI number
- 1104416429
- Entity type
- Organization
- Primary specialty
- Sleep Disorder Diagnostic Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Medical Group
- Authorized official
- Dennis Laraway, Cfo
Practice location
1828 E Florence Blvd Bldg C Ste 136
Casa Grande, AZ 85122
Phone: (520) 381-6282
Fax: (520) 381-6051
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2021-01-20
- Last updated
- 2021-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.