INNOVATIVE DIABETIC CENTER LLC NPI 1235997602

NPI Information

NPI: 1235997602
Provider Name: INNOVATIVE DIABETIC CENTER, LLC
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
10210 N 92ND ST STE 104
SCOTTSDALE, AZ
ZIP 85258
Phone: (602) 377-1450
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INNOVATIVE DIABETIC CENTER, LLC is an infusion therapy clinic center in Scottsdale, AZ. INNOVATIVE DIABETIC CENTER, LLC NPI is 1235997602. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10210 N 92ND ST STE 104
SCOTTSDALE, AZ
ZIP 85258-531
Phone: (602) 377-1450

The provider's authorized official is Amy Lorraine Hunn .
The authorized official title is Administrative Manager and has the following contact phone number (602) 377-1450.

The enumeration date for this NPI number is 3/11/2024 and was last updated on 4/11/2024.

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	Primary
1	133N00000X	Nutritionist		No
2	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	No
3	163WD0400X	Registered Nurse	Diabetes Educator	No
4	163WI0500X	Registered Nurse	Infusion Therapy	No
5	164W00000X	Licensed Practical Nurse		No
6	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
7	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	No
8	208VP0000X	Pain Medicine	Pain Medicine	No
9	261QI0500X	Clinic/Center	Infusion Therapy	Yes
10	363L00000X	Nurse Practitioner		No

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: 5/5/2024

NPI Synchronization or Removal

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