Banner Medical Group Pediatric Sleep, LLC
Banner Medical Group Pediatric Sleep, LLC is a Sleep Disorder Diagnostic Clinic/Center in Mesa, Arizona. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2225 W Southern Ave Bldg 1400Mesa, AZ 85202-4716
Phone: (480) 412-3612
Fax: (480) 412-3684
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sleep Disorder Diagnostic Clinic/Center (primary) | Taxonomy 261QS1200X |
|---|
Record details
| NPI number | 1528658838 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Banner Medical Group |
| Authorized official | Dennis Laraway — Cfo · (602) 747-4000 |
| NPI enumerated | January 20, 2021 |
| Last updated in NPPES | December 30, 2021 |
| Certification date | December 30, 2021 |
| Mailing address | 2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702 |
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Banner Desert Medical Center
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Banner Medical Group Adult Sleep, LLC
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Sleepwell Laboratories, Inc
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