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DIABETES RELIEF UTAH OGDEN LLC NPI 1619402799


NPI Information

NPI: 1619402799
Provider Name: DIABETES RELIEF UTAH OGDEN LLC
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

CLIA Number: 46D2139701

Address:
2086 N 1700 W STE D
LAYTON, UT
ZIP 84041
Phone: (385) 515-4100
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DIABETES RELIEF UTAH OGDEN LLC is an infusion therapy clinic center in Layton, UT. DIABETES RELIEF UTAH OGDEN LLC NPI is 1619402799. The provider is registered as an organization entity type.

The provider's business location address is:

2086 N 1700 W STE D
LAYTON, UT
ZIP 84041
Phone: (385) 515-4100
Fax: (385) 351-1150

The provider's authorized official is Kimberly Long .
The authorized official title is Pca/credentialing and has the following contact phone number (385) 515-4100.

The CLIA number assigned to this NPI record is 46D2139701 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2017 and was last updated on 8/15/2018.


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
1261QI0500XClinic/CenterInfusion TherapyTEXASYes

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: 4/28/2024

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