Diabetes Specialty Center Llc
LBN: Diabetes Specialty Center Llc
Diabetes Specialty Center Llc is an health care organization with primary practice located at 1254 N State St , Provo UT 84604-6432. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Diabetes Specialty Center Llc can be contacted via phone (801) 392-2362, or through Cohen, Marc via phone (801) 743-2800.
Contact Information
Primary practice address
1254 N State St
Provo UT 84604-6432
Phone: (801) 392-2362
Fax: (801) 392-5643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1245484906 |
|---|---|
| LBN Legal business name | Diabetes Specialty Center Llc |
| DBA Doing business as | |
| Authorized official | Cohen, Marc |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 7th, 2008 |
| Last updated | Mar 16th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245484906 | NPPES |
| Utah | MEDICAID | 5386155 | |
| Utah | Other | 1841279155 |
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