DIABETES REVERSAL OF AMERICA, LLC – NPI #1790215358
Clinic/Center

DIABETES REVERSAL OF AMERICA, LLC is an AHC clinic located in KATY, TX. NPPES has assigned the NPI number 1790215358 to DIABETES REVERSAL OF AMERICA, LLC on June 15, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is MEDICAL BIODIAGNOSTIC LLC. 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

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 DIABETES REVERSAL OF AMERICA, LLC below.

NPI Profile for
DIABETES REVERSAL OF AMERICA, LLC

NPI Number
1790215358
Enumeration Date

(about 9 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
DIABETES REVERSAL OF AMERICA, LLC
Former Legal Business Name: MEDICAL BIODIAGNOSTIC LLC
Primary location
1463 S MASON RD
KATY, TX 77450-4568
Phone: (281) 808-7381 Fax: (281) 624-4488
1 Other location(s):
5723 Star Ln
Houston, TX 77057-7113
Phone: (281) 808-7381
Fax: (281) 861-8415
Mailing address
5723 STAR LN
HOUSTON, TX 77057-7113
Phone: (281) 808-7381 Fax: (281) 861-8415
Organization Subpart
No
Authorized Official
RAJ VARMA
OWNER
Phone: (281) 808-7381
Updated
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)

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.