Creative Orthotic Laboratory

LBN: Creative Orthotic Laboratory
Creative Orthotic Laboratory is an health care organization with primary practice located at 8608 N 59Th Ave , Glendale AZ 85302-5404. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Creative Orthotic Laboratory can be contacted via phone (623) 934-3213, or through Gorman, Mark Richard via phone (623) 934-3213.

Contact Information

Primary practice address
8608 N 59Th Ave Glendale AZ 85302-5404
Phone: (623) 934-3213
Fax: (623) 930-1891
Website:
Map and Directions
Authorized official contact:
Name: Gorman, Mark Richard Doctor of Podiatric Medicine (DPM)
Phone: (623) 934-3213

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1306803218
LBN Legal business name Creative Orthotic Laboratory
DBA Doing business as
Authorized official Gorman, Mark Richard Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Aug 22nd, 2020 - 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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