OrganizationActive
Banner - University Hospital Based Physicians LLC
NPI 1558071415 · Radiology Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1558071415
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner -- University Medical Group
- Organization subpart
- Yes
- Authorized official
- Todd Werner, Division President(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
1111 E Mcdowell Rd
Phoenix, AZ 85006-2612
Phone: (602) 839-3749
Approximate (ZIP-level) locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2022-12-01
- Certified
- 2022-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.