Lifestyle Diabetic Support Services, LLC

Organization Active
NPI 1881025369
Clinical & Laboratory Immunology (Allergy & Immunology) Physician Phoenix, AZ

Lifestyle Diabetic Support Services, LLC is a clinical & laboratory immunology (allergy & immunology) physician located in Phoenix, AZ. The NPI was issued on December 9, 2013, and the record was last updated in NPPES on September 9, 2020. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Clinical & Laboratory Immunology (Allergy & Immunology) Physician Primary 207KI0005X Not listed
Clinical Medical Laboratory 291U00000X (IL)

Practice location

10210 N 32nd St Ste C7
Phoenix, AZ 85028-3826
Phone: (602) 675-1576

Local context

Active NPPES records list 1 provider with clinical & laboratory immunology (allergy & immunology) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 1 in Arizona and 130 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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