Individual ProviderDiane LabbanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4545 E Chandler Blvd Ste 308, #308, Phoenix, AZ 85048-7646(480) 893-2100PECOS EnrollmentBased on the most recent information from CMS, provider Diane Labban is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1629390778Provider TypeIndividualFull NameLabban, DianeTitleMrs.CredentialF.N.PGenderFemaleSole ProprietorNoEnumeration Date2/17/2010Last Updated2/17/2010Contact InformationPractice LocationPractice Address4545 E Chandler Blvd Ste 308, #308, Phoenix, AZ 85048-7646Phone(480) 893-2100FaxUnlisted FaxMailing LocationMailing Address4545 E Chandler Blvd Ste 308, #308, Phoenix, AZ 85048-7646Phone(480) 893-2100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP3516Arizona