Optim Ketamine Clinics Llc

LBN: Optim Ketamine Clinics Llc
Optim Ketamine Clinics Llc is an health care organization with primary practice located at 10255 N 32Nd St Ste B , Phoenix AZ 85028-3822. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Optim Ketamine Clinics Llc can be contacted via phone (928) 851-3733, or through Ray, Christopher S via phone (623) 293-3985.

Contact Information

Primary practice address
10255 N 32Nd St Ste B Phoenix AZ 85028-3822
Fax:
Website:
Authorized official contact:
Name: Ray, Christopher S Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1770095820
LBN Legal business name Optim Ketamine Clinics Llc
DBA Doing business as
Authorized official Ray, Christopher S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2017
Last updated Oct 30th, 2017 - about 7 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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