Healthcare Provider Details

I. General information

NPI: 1225660467
Provider Name (Legal Business Name): PIMRI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2020
Last Update Date: 09/20/2025
Certification Date: 09/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 S DOBSON RD STE 102
MESA AZ
85202-6457
US

IV. Provider business mailing address

70 S VAL VISTA DR STE A3-618
GILBERT AZ
85296-0942
US

V. Phone/Fax

Practice location:
  • Phone: 480-485-5166
  • Fax: 877-991-6652
Mailing address:
  • Phone: 480-485-5166
  • Fax: 877-991-6652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NICOLAS PETERS
Title or Position: MANAGER/OWNER
Credential: MD
Phone: 480-485-5166