LIFESTYLE DIABETIC SUPPORT SERVICES LLC NPI 1881025369

NPI Information

NPI: 1881025369
Provider Name: LIFESTYLE DIABETIC SUPPORT SERVICES, LLC

Doing Business As: ASSYRIAN FAMILY HEALTH SERVICES

Classification: Allergy & Immunology - 207KI0005X
Entity Type: Organization

Specialization: Clinical & Laboratory Immunology

CLIA Number: 14D2071323

Address:
10210 N 32ND ST STE C7
PHOENIX, AZ
ZIP 85028
Phone: (602) 675-1576
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LIFESTYLE DIABETIC SUPPORT SERVICES, LLC is a clinical and laboratory immunology allergy immunology in Phoenix, AZ. LIFESTYLE DIABETIC SUPPORT SERVICES, LLC NPI is 1881025369. The provider is registered as an organization entity type.
The provider Is Doing Business As Assyrian Family Health Services.

The provider's business location address is:

10210 N 32ND ST STE C7
PHOENIX, AZ
ZIP 85028-826
Phone: (602) 675-1576
Fax: (602) 610-5844

The provider's authorized official is Timothy Joseph Youkhana .
The authorized official title is Owner and has the following contact phone number (602) 675-0887.

The CLIA number assigned to this NPI record is 14D2071323 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 9/9/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory			ILLINOIS	No
2	207KI0005X	Allergy & Immunology	Clinical & Laboratory Immunology			Yes

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

NPI Synchronization or Removal

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