Healthcare Provider Details

I. General information

NPI: 1548100563
Provider Name (Legal Business Name): BYARTESKIN LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 N CHURCH AVE # 230
TUCSON AZ
85701-1121
US

IV. Provider business mailing address

177 N CHURCH AVE # 230
TUCSON AZ
85701-1121
US

V. Phone/Fax

Practice location:
  • Phone: 520-258-8097
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: LOREDANA SASSO
Title or Position: OWNER
Credential:
Phone: 520-258-8097