ARIZONA KETAMINE SPECIALISTS LLC – NPI #1255937439
Clinic/Center

ARIZONA KETAMINE SPECIALISTS LLC is an AHC clinic located in GLENDALE, AZ. NPPES has assigned the NPI number 1255937439 to ARIZONA KETAMINE SPECIALISTS LLC on December 11, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QI0500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Infusion Therapy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ARIZONA KETAMINE SPECIALISTS LLC below.

NPI Profile for
ARIZONA KETAMINE SPECIALISTS LLC

NPI Number
1255937439
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARIZONA KETAMINE SPECIALISTS LLC
Primary location
18205 N 51ST AVE STE 105
GLENDALE, AZ 85308-1491
Phone: (623) 688-8531 Fax: (602) 277-8146
Mailing address
PO BOX 39179
PHOENIX, AZ 85069-9179
Phone: (602) 395-0718 Fax: (602) 277-8146
Organization Subpart
No
Authorized Official
DAVID VANLIROP
MANAGER
Phone: (480) 414-9986
Updated
Certification Date
Dec 11, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QI0500X
- Clinic/Center / Infusion Therapy (Primary)
207L00000X
- Anesthesiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.