Clean Colonic Llc

LBN: Clean Colonic Llc
Clean Colonic Llc is an health care organization with primary practice located at 7560 S. Willow Dr , Tempe AZ 85283. The organization recently has 2 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Clean Colonic Llc can be contacted via phone (952) 994-3554, or through Berry, Carolyn Dee via phone (480) 269-5575.

Contact Information

Primary practice address
7560 S. Willow Dr Tempe AZ 85283
Phone: (952) 994-3554
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berry, Carolyn Dee
Phone: (480) 269-5575

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1609226364
LBN Legal business name Clean Colonic Llc
DBA Doing business as
Authorized official Berry, Carolyn Dee
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2016
Last updated Jan 19th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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