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Contact Information

INNOVATE 360 LLC
1200 QUEEN PEGGY LN
LEWISVILLE, TX75056-5809
 Phone: 214-902-6635
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for INNOVATE 360 LLC

NPI Number 1487540704
LBN Legal business name INNOVATE 360 LLC
Authorized official SAJI RAJU - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2025
Last updated 06/13/2025 - About 12 months 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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