Organization · Type 2 NPI

Clean Colonic LLC

Durable Medical Equipment & Medical Supplies · Tempe, AZ

NPI number 1609226364 Active

Practice location

7560 S. Willow Dr
Tempe, AZ 85283

Call (952) 994-3554 Map

Mailing address

7560 S Willow Dr
Tempe, AZ 85283-5004

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency 251K00000XNone listed
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1609226364

Clean Colonic LLC's National Provider Identifier is 1609226364, issued on Jun 14, 2016. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Tempe, AZ. The record was last updated on Jan 19, 2017.