SGL HOLDINGS LLC NPI 1184077596

NPI Information

  • NPI: 1184077596
  • Provider Name: SGL HOLDINGS LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3941 E BASELINE RD STE 102
    GILBERT, AZ
    ZIP 85234
  • Phone: (480) 969-3531

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NPI Details

SGL HOLDINGS LLC is a specialist in Gilbert, 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. SGL HOLDINGS LLC NPI is 1184077596. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3941 E BASELINE RD STE 102
GILBERT, AZ
ZIP 85234-750
Phone: (480) 969-3531
Fax: (866) 764-4599

The provider's authorized official is Salvatore Lacognata .
The authorized official title is Md and has the following contact phone number (480) 652-5928.

The enumeration date for this NPI number is 7/20/2016 and was last updated on 2/6/2019.

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
1174400000XSpecialistYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1628737MEDICAIDARIZONA

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: 11/21/2025

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