Arizona Lymphedema and Vascular Specialists LLC.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Phoenix, AZ
NPI 1801062906 · NPPES record last updated May 8, 2008
Key facts
- NPI
- 1801062906
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 04001933 (AZ)
- Legal business name
- ARIZONA LYMPHEDEMA AND VASCULAR SPECIALISTS LLC.
- Practice address
- 3602 N 15TH Ave
Phoenix, AZ 85015 - Phone
- (623) 329-7945
- NPI assigned
- May 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Ruben Chagolla
- Title
- Vascular Compression Speacialist
- Phone
- (623) 329-7945
National Provider Directory
Locations
3602 N 15th Ave
Phoenix, AZ 85015
Phone (623) 329-7945
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 04001933 | AZ | Yes |
Addresses
Primary practice location
3602 N 15TH Ave
Phoenix, AZ 85015
Mailing address
3602 N 15TH Ave
Phoenix, AZ 85015-5538
Phone (623) 329-7945
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.