DIABETES SPECIALTY CENTER LLC NPI 1245484906

NPI Information

  • NPI: 1245484906
  • Provider Name: DIABETES SPECIALTY CENTER LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 1254 N STATE ST
    PROVO, UT
    ZIP 84604
  • Phone: (801) 392-2362

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NPI Details

DIABETES SPECIALTY CENTER LLC is a durable medical equipment medical supplies in Provo, UT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DIABETES SPECIALTY CENTER LLC NPI is 1245484906. The provider is registered as an organization entity type.

The provider's business location address is:

1254 N STATE ST
PROVO, UT
ZIP 84604-432
Phone: (801) 392-2362
Fax: (801) 392-5643

The provider's authorized official is Marc Cohen .
The authorized official title is President and has the following contact phone number (801) 743-2800.

The enumeration date for this NPI number is 11/7/2008 and was last updated on 3/16/2012.

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
1335E00000XProsthetic/Orthotic SupplierNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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
11841279155OTHERUTAHMEDICARE NPI
24781762-0160MEDICARE PINUTAH
35386155MEDICAIDUTAH

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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