Irc Dc Az, Llc

LBN: Irc Dc Az, Llc
Irc Dc Az, Llc is an health care organization with primary practice located at 14780 W Mountain View Blvd Ste 109 , Surprise AZ 85374-7280. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Irc Dc Az, Llc can be contacted via phone (623) 240-1110, or through Durvasan, Arvind via phone (623) 240-1110.

Contact Information

Primary practice address
14780 W Mountain View Blvd Ste 109 Surprise AZ 85374-7280
Phone: (623) 240-1110
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Durvasan, Arvind
Phone: (623) 240-1110

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1386279255
LBN Legal business name Irc Dc Az, Llc
DBA Doing business as
Authorized official Durvasan, Arvind
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2020
Last updated Mar 11th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386279255 NPPES
Arizona MEDICAID 830265

Popular Providers