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Contact Information

DERMSPECTRA, LLC
2601 N CAMPBELL AVE
SUITE 205
TUCSON, AZ85719-3163
 Phone: 520-332-3644
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for DERMSPECTRA, LLC

NPI # 1659793180
LBN Legal business name DERMSPECTRA, LLC
Authorized official JARROD WINTERS - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/17/2014
Last updated 01/17/2014 - About 12 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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