DIABETES EDUCATION AUGMENTING LIFESTYLES-CENTER AND CLINIC LLC (DEAL- NPI 1942933296

NPI Information

NPI: 1942933296
Provider Name: DIABETES EDUCATION AUGMENTING LIFESTYLES-CENTER AND CLINIC, LLC (DEAL-
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 26D1055859

Address:
3104 MAGNOLIA AVE
SAINT LOUIS, MO
ZIP 63118
Phone: (314) 441-6536
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DIABETES EDUCATION AUGMENTING LIFESTYLES-CENTER AND CLINIC, LLC (DEAL- is a community health clinic center in Saint Louis, MO. DIABETES EDUCATION AUGMENTING LIFESTYLES-CENTER AND CLINIC, LLC (DEAL- NPI is 1942933296. The provider is registered as an organization entity type.

The provider's business location address is:

3104 MAGNOLIA AVE
SAINT LOUIS, MO
ZIP 63118-272
Phone: (314) 441-6536

The provider's authorized official is Sonia L Deal .
The authorized official title is Chief Executive Officer and has the following contact phone number (314) 346-2084.

The CLIA number assigned to this NPI record is 26D1055859 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2022 and was last updated on 7/5/2022.

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
1	261QH0100X	Clinic/Center	Health Service			No
2	261QC1500X	Clinic/Center	Community Health			Yes

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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