Allied Integrated Clinic LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ALLIED INTEGRATED CLINIC LLC

Practice address

1128 E Greenway St
Mesa, AZ 85203-4361

Phone

(602) 693-4230

NPI assigned

Dec 27, 2022

Last updated

Dec 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdiqani Adam

Title

Owner

Phone

(602) 693-4230

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1477266138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W RAY RD STE B6",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257264",
            "telephone_number": "602-693-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 E GREENWAY ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034361",
            "telephone_number": "602-693-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED INTEGRATED CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "ABDIQANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-693-4230"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.