BANNER URGENT CARE SERVICES, LLC
NPI 1215409834
Clinic/Center - Urgent Care in Glendale, AZ

NPI Status: Active since December 20, 2018

Contact Information

4232 W BELL RD
GLENDALE, AZ
ZIP 85308
Phone: (623) 465-6360

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 03D2043341
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 06-28-2026

About BANNER URGENT CARE SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Banner Urgent Care Services, Llc, a provider established in Glendale, Arizona operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1215409834 assigned on December 2018. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Brian Standage (Executive Director)

NPI
1215409834
Provider Name
BANNER URGENT CARE SERVICES, LLC
Entity Type
Organization
Location Address
4232 W BELL RD GLENDALE, AZ 85308
Location Phone
(623) 465-6360
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-20-2018
Last Update Date
06-20-2025
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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 Urgent Care

Taxonomy Code
261QU0200X
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

BRIAN STANDAGE

Authorized Official Title
EXECUTIVE DIRECTOR
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
03D2043341
Facility Type
Other - URGENT CARE
Certificate Effective Date
June 29, 2024
Certificate Expiration Date
June 28, 2026
Laboratory Director
ROBERT JOHNS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Banner Urgent Care Services, 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.

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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.
1215409834
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225801886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 8 + 0 + 1 + 8 + 8 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1215409834 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619228335EAST VALLEY URGENT CARE, LLC
Organization
Clinic/Center (Urgent Care)4232 W BELL RD STE C1
PHOENIX, AZ 85308
(480) 840-3075
1700987104MR. PETER TRETHEWEY P.A.-C
Individual
Physician Assistant (Medical)4232 W BELL RD SUITE C1
GLENDALE, AZ 85308
(602) 639-4535
1770322877 ANA ANUSIC NP
Individual
Nurse Practitioner (Family)4232 W BELL RD
GLENDALE, AZ 85308
(623) 465-6360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215409834, enumerated in the NPI registry as an "organization" on December 20, 2018

The provider is located at 4232 W Bell Rd Glendale, Az 85308 and the phone number is (623) 465-6360

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider's CLIA number is 03D2043341 for a "other - urgent care" 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 December 20, 2018. 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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