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IM SPECIALIST INC NPI 1134337710


NPI Information

NPI: 1134337710
Provider Name: IM SPECIALIST, INC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 03D1036557

Address:
2737 W BASELINE RD
SUITE 24
TEMPE, AZ
ZIP 85283
Phone: (602) 437-4800
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IM SPECIALIST, INC is a specialist in Tempe, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. IM SPECIALIST, INC NPI is 1134337710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2737 W BASELINE RD
SUITE 24
TEMPE, AZ
ZIP 85283-051
Phone: (602) 437-4800
Fax: (602) 437-4805

The provider's authorized official is Shari Castle .
The authorized official title is Practice Manager and has the following contact phone number (602) 437-4800.

The CLIA number assigned to this NPI record is 03D1036557 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 1/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist25040ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z101812MEDICARE ID-TYPE UNSPECIFIEDARIZONAGROUP
2Z101900MEDICARE PINARIZONA
3AZ0767620OTHERARIZONABCBS OF AZ
4425993MEDICAIDARIZONA
5=========OTHERARIZONATAX ID
6G58518MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.