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Organization

DEEPAL CEMO MEDICAL SOLUTIONS, LLC

Active
Other names
American Diabetes Therapy Centers
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID L. ZWECK (VICE PRESIDENT)
(916) 933-2300
Entity
Organization

Contact information

Practice address
945 ROSEVILLE PARKWAY, SUITE 150, ROSEVILLE, CA 95678-6063
(916) 788-8444
(916) 788-8449
Mailing address
950 GLENN DR, SUITE 250, FOLSOM, CA 95630-3130
(916) 933-2300
(916) 933-0119

Taxonomy

Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
CLR339743
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D2005230
CLIA WAIVER
01
CLR 339743
CALIFORNIA CLIA REGISTRATION
CA
Enumeration date
04/15/2010
Last updated
11/03/2011
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