BANNER QUICK CARE, LLC
NPI 1083140131
Clinic/Center - Multi-Specialty in Tucson, AZ

NPI Status: Active since May 11, 2017

Contact Information

1940 E BROADWAY BLVD
TUCSON, AZ
ZIP 85719
Phone: (520) 694-1030
Fax: (520) 694-1031

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 03D1094370
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 09-13-2026

About BANNER QUICK CARE, LLC

This page provides the complete NPI Profile along with additional information for Banner Quick Care, Llc, a provider established in Tucson, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1083140131 assigned on May 2017. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Matthew Cox (Vp Finance)

NPI
1083140131
Provider Name
BANNER QUICK CARE, LLC
Entity Type
Organization
Location Address
1940 E BROADWAY BLVD TUCSON, AZ 85719
Location Phone
(520) 694-1030
Location Fax
(520) 694-1031
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-11-2017
Last Update Date
05-11-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW COX

Authorized Official Title
VP FINANCE
Authorized Official Phone
(602) 747-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1094370
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
September 14, 2024
Certificate Expiration Date
September 13, 2026
Laboratory Director
CATHERINE M. SPIER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Banner Quick Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BANNER QUICK CARE, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083140131
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2016324016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 2 + 4 + 0 + 1 + 6 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1083140131 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588965727DR. THAO C NGUYEN PHARM. D.
Individual
Pharmacist1940 E BROADWAY BLVD
TUCSON, AZ 85719
(520) 206-9052
1720389992 NICHOLAS A GIORDANO R.PH.
Individual
Pharmacist1940 E BROADWAY BLVD
TUCSON, AZ 85719
(520) 206-9052
1245717370 ALISON ANNE CHARNEY PHARMD
Individual
Pharmacist1940 E BROADWAY BLVD
TUCSON, AZ 85719
(520) 206-9047
1770642878SAFEWAY INC
Organization
Pharmacy (Community/Retail Pharmacy)1940 E BROADWAY BLVD
TUCSON, AZ 85719
(520) 206-9052
1578229951 YANA FAY
Individual
Pharmacist1940 E BROADWAY BLVD
TUCSON, AZ 85719
(520) 206-9047
1053928192 FERRYL BOYANCE MCCLAIN R.PH D.PH
Individual
Pharmacist1940 E BROADWAY BLVD
TUCSON, AZ 85719
(520) 206-9052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083140131, enumerated in the NPI registry as an "organization" on May 11, 2017

The provider is located at 1940 E Broadway Blvd Tucson, Az 85719 and the phone number is (520) 694-1030

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

The provider's CLIA number is 03D1094370 for a "ancillary testing site in health care center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 11, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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