Cleanslate Centers- North 40Th Phoenix, Az.

LBN: Cleanslate Medical Group Of Arizona Pllc
Cleanslate Centers- North 40Th Phoenix, Az. is an health care organization with primary practice located at 15255 N 40Th St Ste 135 , Phoenix AZ 85032-4682. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Cleanslate Medical Group Of Arizona Pllc can be contacted via phone (480) 417-4215, or through Smolarek, Matthew Philip via phone (412) 999-5188.

Contact Information

Primary practice address
15255 N 40Th St Ste 135 Phoenix AZ 85032-4682
Phone: (480) 417-4215
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smolarek, Matthew Philip
Phone: (412) 999-5188

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1801421656
LBN Legal business name Cleanslate Medical Group Of Arizona Pllc
DBA Doing business as Cleanslate Centers- North 40Th Phoenix, Az.
Authorized official Smolarek, Matthew Philip
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2020
Last updated Jul 3rd, 2024 - about 4 months 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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