OrganizationActive
Banner Occupational Health Arizona LLC
NPI 1699318105 · Occupational Medicine Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1699318105
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Dennis Laraway, Cfo(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1300 N 12th St Ste 250
Phoenix, AZ 85006-2848
Phone: (602) 839-4456
Street-level locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Registry dates
- Enumerated
- 2019-10-28
- Last updated
- 2019-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.