Provider Demographics
NPI:1497165955
Name:VIVERE ARIZONA REPRODUCTIVE INSTITUTE LLC
Entity Type:Organization
Organization Name:VIVERE ARIZONA REPRODUCTIVE INSTITUTE LLC
Other - Org Name:ARIZONA REPRODUCTIVE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESEIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:J
Authorized Official - Last Name:CABLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-550-7366
Mailing Address - Street 1:720 COOL SPRINGS BLVD STE 520
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7259
Mailing Address - Country:US
Mailing Address - Phone:615-550-4900
Mailing Address - Fax:615-550-4901
Practice Address - Street 1:1775 E SKYLINE DR STE 175
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-9103
Practice Address - Country:US
Practice Address - Phone:520-222-8400
Practice Address - Fax:520-219-2351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ03D2046160OtherCLIA