PRESTIGE INTERVENTIONAL GROUP, LLC – NPI #1891236998
Clinic/Center

PRESTIGE INTERVENTIONAL GROUP, LLC is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1891236998 to PRESTIGE INTERVENTIONAL GROUP, LLC on March 09, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

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 PRESTIGE INTERVENTIONAL GROUP, LLC below.

NPI Profile for
PRESTIGE INTERVENTIONAL GROUP, LLC

NPI Number
1891236998
Enumeration Date

(more than 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
PRESTIGE INTERVENTIONAL GROUP, LLC
Primary location
3724 N 3RD ST
SUITE 302
PHOENIX, AZ 85012-2034
Phone: (602) 674-8185 Fax: (602) 674-8117
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHALLEN WAYCHOFF
COO/MANAGER
Phone: (760) 486-9634
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
261QM1300X
- Clinic/Center / Multi-Specialty (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.