Provider Demographics
NPI:1801102413
Name:VALLEY OXIMETRY INCORPORATED
Entity type:Organization
Organization Name:VALLEY OXIMETRY INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURI
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RCP, RPSGT
Authorized Official - Phone:480-830-3900
Mailing Address - Street 1:PO BOX 30388
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85275-0388
Mailing Address - Country:US
Mailing Address - Phone:480-830-3900
Mailing Address - Fax:480-830-3901
Practice Address - Street 1:9767 N 91ST ST
Practice Address - Street 2:STE B104
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5086
Practice Address - Country:US
Practice Address - Phone:480-830-3900
Practice Address - Fax:480-830-3901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1Z9746OtherHEALTHNET
AZ594667Medicaid
AZAZ0278730OtherBCBS
AZ319237OtherAHCCCS ID