ARIZONA LYMPHEDEMA AND VASCULAR SPECIALISTS LLC. (NPI# 1801062906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801062906 |
| Entity Type | Organization |
| Organization Name | ARIZONA LYMPHEDEMA AND VASCULAR SPECIALISTS LLC. |
| Practice Address |
3602 N 15th Ave Phoenix AZ 85015 |
| Mailing Address |
3602 N 15th Ave Phoenix AZ 85015-5538 |
| Practice Telephone | 6233297945 |
| Mailing Telephone | 6233297945 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |
| Authorized Official Name | MR. RUBEN CHAGOLLA (VASCULAR COMPRESSION SPEACIALIST) |
| Authorized Official Telephone | 6233297945 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 04001933 | AZ | Suppliers |
| Street Address |
3602 N 15TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080238 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3807 N 7th St Ste P, Phoenix, AZ 85014-5005 | 2020-10-15 |
| 1528675469 | Antelope Works, LLC | Durable Medical Equipment & Medical Supplies | 2601 N 3rd St Ste 200, Phoenix, AZ 85004-1145 | 2020-09-24 |
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1013536630 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 10844 N 23rd Ave Ste P125, Phoenix, AZ 85029-4924 | 2020-04-14 |
| 1376162073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4136 North 75th Ave, Suite 116, Room P, Phoenix, AZ 85033 | 2020-04-13 |
| 1689293367 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1515 E Osborn Rd Ste P1, Phoenix, AZ 85014-5309 | 2020-04-13 |
| 1619596319 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1840 N 95th Ave Ste 132p, Phoenix, AZ 85037-4445 | 2020-04-13 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1659915908 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2311 W Royal Palm Rd Ste P, Phoenix, AZ 85021-4916 | 2019-10-30 |
| 1255972295 | Arizona Dental Health Partners LLC | Durable Medical Equipment & Medical Supplies | 3134 W Carefree Hwy Ste 9, Phoenix, AZ 85086-4001 | 2019-10-01 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.