CLINIC LLC NPI 1033604574

NPI Information

  • NPI: 1033604574
  • Provider Name: CLINIC LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 44D2314658
  • Address: 3393 KIRBY RD
    MEMPHIS, TN
    ZIP 38115
  • Phone: (901) 542-0864

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NPI Details

CLINIC LLC is a general practice in Memphis, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CLINIC LLC NPI is 1033604574. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3393 KIRBY RD
MEMPHIS, TN
ZIP 38115-253
Phone: (901) 542-0864

The provider's authorized official is David Conner .
The authorized official title is Owner and has the following contact phone number (901) 270-9145.

The CLIA number assigned to this NPI record is 44D2314658 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2018 and was last updated on 4/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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