DESERT LITHOTRIPSY, LLC


Address: 604 W Warner Rd Ste A, Chandler, AZ 85225-2900
Phone: 6024817369

DESERT LITHOTRIPSY, LLC (NPI# 1881190676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881190676
Entity Type Organization
Organization Name DESERT LITHOTRIPSY, LLC
Practice Address 604 W Warner Rd Ste A
Chandler
AZ 85225-2900
Mailing Address 3317 S Higley Rd Ste 114
Pmb 298
Gilbert
AZ 85297-5437
Practice Telephone 6024817369
Mailing Telephone 6024817369
Enumeration Date 2018-04-02
Last Update Date 2018-09-28
Authorized Official Name CHRISTINA BECKER (DIRECTOR)
Authorized Official Telephone 6024817369
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QL0400X Clinic/Center
Specialization: Lithotripsy
Ambulatory Health Care Facilities

Office Location

Street Address 604 W WARNER RD STE A
City CHANDLER
State AZ
Zip Code 85225-2900

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Taxonomy Information

Taxonomy Code 261QL0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Lithotripsy

Taxonomy Definition

Definition to come...

Competitor

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City CHANDLER
Zip Code 85225

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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