Organization
DIABETES SPECIALTY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARLA G MCGUIGAN (CUSTOMER SERVICE MANAGER COMPLIANCE)
(801) 268-9699
Entity
Organization
Contact information
Practice address
3955 HARRISON BLVD, OGDEN, UT 84403-2313
(801) 392-2362
(801) 392-5643
Mailing address
3793 S STATE ST, SALT LAKE CITY, UT 84115-4828
(801) 268-9699
(801) 268-9929
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841279155
NPI FOR PARENT COMPANY
UT
Enumeration date
05/18/2007
Last updated
08/22/2020
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