# WELLNESS 1ST INTEGRATIVE MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053825364
- **Authorized official:** DR. FARID ROOH DC (CLINIC DIRECTOR)
- **Authorized official phone:** (480) 304-5152

## Contact information

- **Practice address:** 2451 E BASELINE RD STE 100, GILBERT, AZ 85234
- **Practice address phone:** (480) 304-5152
- **Practice address fax:** (480) 603-4147
- **Mailing address:** 2451 E BASELINE RD STE 100, GILBERT, AZ 85234-2467
- **Mailing address phone:** (480) 304-5152
- **Mailing address fax:** (480) 603-4147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | RN06371 | AZ | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 11/22/2017
- **Last updated:** 04/20/2021