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TLC PEDIATRICS PLLC NPI 1154530111


NPI Information

NPI: 1154530111
Provider Name: TLC PEDIATRICS PLLC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 03D2161301

Address:
16611 S 40TH ST
SUITE# 160
PHOENIX, AZ
ZIP 85048
Phone: (480) 940-8527
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TLC PEDIATRICS PLLC is a specialist in Phoenix, 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. TLC PEDIATRICS PLLC NPI is 1154530111. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16611 S 40TH ST
SUITE# 160
PHOENIX, AZ
ZIP 85048-562
Phone: (480) 940-8527
Fax: (480) 940-8530

The provider's authorized official is Diane K Matsumoto .
The authorized official title is Owner and has the following contact phone number (480) 940-8527.

The CLIA number assigned to this NPI record is 03D2161301 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.


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
1174400000XSpecialist=========ARIZONAYes

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.