Organization Active NPI

Lets Be Pals LLC

  • Exclusive Provider Organization
  • Mesa, AZ
National Provider Identifier
1043544802
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
L15454205 Issued in AZ
Legal business name
LETS BE PALS LLC
Practice address
1101 S Sycamore
323
Mesa, AZ 85202-4005
Phone
(480) 497-3245
NPI assigned
Sep 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randolph Marshall Howard
Title
President
Phone
(480) 497-3245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X L15454205 AZ Primary

Addresses

Primary practice location

1101 S Sycamore
323
Mesa, AZ 85202-4005

Mailing address

1849 E Guadalupe Rd Ste C101
166
Tempe, AZ 85283-3281
Phone (480) 497-3245

National Provider Directory

National Provider Directory

Locations

1849 E Guadalupe Rd
Ste C101
Tempe, AZ 85283

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1043544802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 E GUADALUPE RD STE C101",
            "address_2": "166",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833281",
            "telephone_number": "480-497-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S SYCAMORE",
            "address_2": "323",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024005",
            "telephone_number": "480-497-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETS BE PALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-497-3245"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AZ",
            "license": "L15454205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.