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INFINITY AESTHETIC AND LASER CENTER LLC NPI 1568072791


NPI Information

NPI: 1568072791
Provider Name: INFINITY AESTHETIC AND LASER CENTER LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 37D2208787

Address:
204 N 12TH ST
HUGO, OK
ZIP 74743
Phone: (580) 326-8310
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INFINITY AESTHETIC AND LASER CENTER LLC is a clinic center in Hugo, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). INFINITY AESTHETIC AND LASER CENTER LLC NPI is 1568072791. The provider is registered as an organization entity type.

The provider's business location address is:

204 N 12TH ST
HUGO, OK
ZIP 74743-612
Phone: (580) 326-8310

The provider's authorized official is Leslie Elaine Oates .
The authorized official title is Owner/partner and has the following contact phone number (580) 326-8310.

The CLIA number assigned to this NPI record is 37D2208787 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2020 and was last updated on 8/3/2020.


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
1261Q00000XClinic/CenterYes

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: 5/5/2024

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