Provider Demographics
NPI:1497335988
Name:TIA ARIZONA LLC
Entity type:Organization
Organization Name:TIA ARIZONA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, PAYER STRATEGY & REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-943-0967
Mailing Address - Street 1:30 E 23RD ST STE 700
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4408
Mailing Address - Country:US
Mailing Address - Phone:332-203-0933
Mailing Address - Fax:
Practice Address - Street 1:15051 N KIERLAND BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-8141
Practice Address - Country:US
Practice Address - Phone:332-203-0933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty