Organization Active NPI

Diabetes Specialty Center LLC

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
National Provider Identifier
1356559611
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIABETES SPECIALTY CENTER LLC
Practice address
615 Arapeen Dr
Suite 100
Salt Lake City, UT 84108-1267
Phone
(801) 587-3670
Fax
(801) 587-3669
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Karla G McGuigan
Title
Customer Service Manager Compliance
Phone
(801) 268-9699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

615 Arapeen Dr
Suite 100
Salt Lake City, UT 84108-1267

Mailing address

3793 S State St
Salt Lake City, UT 84115-4828
Phone (801) 268-9699

Other identifiers 1

IdentifierTypeStateIssuer
1841279155OtherUTNPI OF CORPORATE PARENT

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356559611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3793 S STATE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841154828",
            "telephone_number": "801-268-9699",
            "fax_number": "801-268-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ARAPEEN DR",
            "address_2": "SUITE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081267",
            "telephone_number": "801-587-3670",
            "fax_number": "801-587-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES SPECIALTY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGUIGAN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CUSTOMER SERVICE MANAGER COMPLIANCE",
        "authorized_official_telephone_number": "801-268-9699",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF CORPORATE PARENT",
            "identifier": "1841279155",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.