Provider Demographics
NPI:1104010107
Name:PIMA LUNG & SLEEP, PC
Entity type:Organization
Organization Name:PIMA LUNG & SLEEP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-405-9181
Mailing Address - Street 1:PO BOX 65659
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85728-5659
Mailing Address - Country:US
Mailing Address - Phone:520-229-8878
Mailing Address - Fax:520-229-9107
Practice Address - Street 1:5310 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3815
Practice Address - Country:US
Practice Address - Phone:520-229-8878
Practice Address - Fax:520-229-9107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-01
Last Update Date:2021-08-11
Deactivation Date:2021-03-15
Deactivation Code:
Reactivation Date:2021-08-11
Provider Licenses
StateLicense IDTaxonomies
AZ25648207RC0200X, 261QS1200X
AZ25848207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CB3659OtherRAILROAD MCR
AZZ63407Medicare PIN