PRISTINE MEDICAL LLC; NPI #1477214096

Contact Information

PRISTINE MEDICAL LLC

4040 E MCDOWELL RD STE 119
PHOENIX, AZ 85008-4428

Phone: 602-633-9700
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for PRISTINE MEDICAL LLC

NPI Number	`1477214096`
LBN Legal business name	PRISTINE MEDICAL LLC
Authorized official	YURIY MIRZAKANDOV - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/05/2022
Last updated	01/05/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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