Pure Life Injury LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PURE LIFE INJURY LLC

Practice address

4725 Statesmen Dr Ste B
Indianapolis, IN 46250-5645

Phone

(480) 566-9755

NPI assigned

Nov 5, 2018

Organization subpart

No

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

Authorized official

Name

Shawn Vigneau, DC

Title

Sole Member

Phone

(480) 290-9899

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1609344969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 STATESMEN DR STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 STATESMEN DR STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505645",
            "telephone_number": "480-566-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE LIFE INJURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "VIGNEAU",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "480-290-9899",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Heart Diagnostics LLC
• Pure Heart Helpers LLC
• Pure Hearts Home Care LLC
• Pure Image Laser and Spa
• Pure Life Clinic LLC
• Pure Love Home Care LLC
• Pure Love Home Services LLC
• Purevital Solutions LLP
• David A Purger, MD, PHD
• Kanika Puri, M.B.B.S.

• Multi-Specialty Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Multi-Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.