# COMPASSIONATE CERTIFICATION CENTERS PLLC

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

## Provider details

- **NPI number:** 1124790977
- **Authorized official:** LAUREN LAU (CREDENTIALING)
- **Authorized official phone:** (724) 989-4564

## Contact information

- **Practice address:** 14628 N GIL BALCOME, SURPRISE, AZ 85379-5400
- **Practice address phone:** (888) 316-9085
- **Mailing address:** 355 5TH AVE STE 1502, PITTSBURGH, PA 15222-2418
- **Mailing address phone:** (888) 316-9085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 09/30/2021
- **Last updated:** 09/30/2021