Allied Interventional Center, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ALLIED INTERVENTIONAL CENTER, LLC

Practice address

14780 W Mountain View Blvd
#120
Surprise, AZ 85374

Phone

(314) 973-9571

NPI assigned

Sep 28, 2016

Last updated

Aug 22, 2018By 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

Hamblen Dean Fuller

Title

Authorized Official

Phone

(602) 793-0310

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1881143147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 W MOUNTAIN VIEW BLVD",
            "address_2": "#120",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744799",
            "telephone_number": "314-973-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 W MOUNTAIN VIEW BLVD",
            "address_2": "#120",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "314-973-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED INTERVENTIONAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "HAMBLEN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "602-793-0310"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Allen
• Lisa M Allen, PA-C
• Mitchell L Allen, PTA
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• Alliance Wound Care Services PLLC
• Ally Pediatric Therapy LLC (Ally Pediatric Therapy)
• Larissa Almeida Araujo
• Misael Chaen Alonso, MD
• Alpine Family Practice
• Zeyad Alsaeedi, MD

• Multi-Specialty Clinic/Center in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

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