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Contact Information

COMFORT CARE PROVIDERS, LLC.
12409 W INDIAN SCHOOL RD STE A108
AVONDALE, AZ85392-9503
 Phone: 623-328-7087
 Fax: 623-218-1337
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for COMFORT CARE PROVIDERS, LLC.

NPI Number 1952803652
LBN Legal business name COMFORT CARE PROVIDERS, LLC.
Authorized official AZIZ MALLIK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2018
Last updated 03/16/2021 - About 5 years ago
Identifiers
AZ Medicaid 442029
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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