Organization
PIMRI, LLC
Active
Other names
Pimri Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAS PETERS MD (MANAGER/OWNER)
(480) 485-5166
Entity
Organization
Contact information
Practice address
2204 S DOBSON RD STE 102, MESA, AZ 85202-6457
(480) 485-5166
(877) 991-6652
Mailing address
70 S VAL VISTA DR STE A3-618, GILBERT, AZ 85296-0942
(480) 485-5166
(877) 991-6652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
246QM0706X
Medical Technologist
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104031
—
AZ
Enumeration date
02/05/2020
Last updated
09/20/2025
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