Coletech Llc

LBN: Coletech Llc
Coletech Llc is an health care organization with primary practice located at 328 W Kelton Ln , Phoenix AZ 85023-7929. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Coletech Llc can be contacted via phone (480) 519-6285, or through Coleman, Mark Wesley via phone (480) 519-6285.

Contact Information

Primary practice address
328 W Kelton Ln Phoenix AZ 85023-7929
Fax: (480) 546-3766
Website:
Authorized official contact:
Name: Coleman, Mark Wesley

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1366114118
LBN Legal business name Coletech Llc
DBA Doing business as
Authorized official Coleman, Mark Wesley
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2021
Last updated Sep 30th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366114118 NPPES
Arizona Other 1396248852 JEREMIAH CONWAY ACNP - NPI

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