INNOVATIVE PRIMARY CARE LLC NPI 1669437349

NPI Details

INNOVATIVE PRIMARY CARE LLC is a legal medicine in Gilbert, AZ. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. INNOVATIVE PRIMARY CARE LLC NPI is 1669437349. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2915 E BASELINE RD
#101
GILBERT, AZ
ZIP 85234-425
Phone: (480) 776-0626
Fax: (480) 776-0627

The provider's authorized official is Sandra Lynn Levitt .
The authorized official title is Owner and has the following contact phone number (480) 776-0626.

The CLIA number assigned to this NPI record is 03D1042934 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 10/28/2025.

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: