INTERVENTIONAL DIABETES CENTER, LLC is a clinic center in Lexington, MS. 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). INTERVENTIONAL DIABETES CENTER, LLC NPI is 1649747825. The provider is registered as an organization entity type.
The provider's business location address is:
20735 HIGHWAY 12
LEXINGTON, MS
ZIP 39095-266
Phone: (601) 594-7346
The provider's authorized official is Angel Gooden .
The authorized official title is Accountant and has the following contact phone number (601) 594-7346.
The CLIA number assigned to this NPI record is 25D2223604 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/25/2018 and was last updated on 9/8/2020.