Ketamine Infusion Centers

LBN: Ketamine Infusion Centers, Inc
Ketamine Infusion Centers is an health care organization with primary practice located at 3724 N 3Rd St Ste 201 , Phoenix AZ 85012-2034. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Infusion Therapy. Ambulatory Health Care Facilities / Infusion Therapy is the primary health care specialty. Ketamine Infusion Centers, Inc can be contacted via phone (480) 331-4222, or through Diaz, Sonny via phone (602) 344-9850.

Contact Information

Primary practice address
3724 N 3Rd St Ste 201 Phoenix AZ 85012-2034
Phone: (480) 331-4222
Fax: (480) 404-9649
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Sonny
Phone: (602) 344-9850

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1740790823
LBN Legal business name Ketamine Infusion Centers, Inc
DBA Doing business as Ketamine Infusion Centers
Authorized official Diaz, Sonny
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2017
Last updated Jul 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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