Icu423R

LBN: Icu423R
Icu423R is an health care organization with primary practice located at 1101 W Guadalupe Rd Ste 1 , Mesa AZ 85210-7601. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Icu423R can be contacted via phone (480) 788-5621, or through Kim, Kiup A via phone (602) 730-6438.

Contact Information

Primary practice address
1101 W Guadalupe Rd Ste 1 Mesa AZ 85210-7601
Phone: (480) 788-5621
Fax: (480) 779-1277
Website:
Map and Directions
Authorized official contact:
Name: Kim, Kiup A Doctor of Medicine (MD)
Phone: (602) 730-6438

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1528752300
LBN Legal business name Icu423R
DBA Doing business as
Authorized official Kim, Kiup A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2023
Last updated Jun 6th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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