Diabetes Specialty Center Llc

LBN: Diabetes Specialty Center Llc
Diabetes Specialty Center Llc is an health care organization with primary practice located at 3793 South State Street , Salt Lake City UT 84115-4828. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Diabetes Specialty Center Llc can be contacted via phone (801) 268-9699, or through Doman, Kim E via phone (801) 263-5442.

Contact Information

Primary practice address
3793 South State Street Salt Lake City UT 84115-4828
Phone: (801) 268-9699
Fax: (801) 268-9929
Website:
Map and Directions
Authorized official contact:
Name: Doman, Kim E
Phone: (801) 263-5442

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 4781762-0160 Utah

Profile Details

NPI number 1841279155
LBN Legal business name Diabetes Specialty Center Llc
DBA Doing business as
Authorized official Doman, Kim E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2006
Last updated Apr 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841279155 NPPES
Utah MEDICAID 184127915501

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