Accelerated Healing Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5735 Issued in AZ

Legal business name

ACCELERATED HEALING CLINIC, LLC

Practice address

13704 N 51St Ave
Glendale, AZ 85304-1416

Phone

(602) 439-5559

Fax

(602) 862-9161

NPI assigned

Mar 10, 2008

Last updated

Mar 10, 2008By 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

Dr. Randall Keith Leraaen, D.C., M.U.A.C.

Title

Owner/President

Phone

(602) 439-5559

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1568632131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13704 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041416",
            "telephone_number": "602-439-5559",
            "fax_number": "602-862-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13704 N 51ST AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041416",
            "telephone_number": "602-439-5559",
            "fax_number": "602-862-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED HEALING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "LERAAEN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "602-439-5559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.U.A.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.