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SLIMMING GRACE LLC
NPI 1104691468
Family Medicine in Kingman, AZ

Active since November 16, 2023CLIA 03D2300357 · Waiver
1901 JOHNSON AVE UNIT 3371, KINGMAN, AZ 86402(928) 279-5076(949) 695-3692 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Slimming Grace Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SLIMMING GRACE LLC (NPI 1104691468) is a healthcare organization registered as a family medicine in Kingman, Arizona and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through March 7, 2028 and lists Danni Owens, Owner, as its authorized official.

NPPES Registry Identity

NPI1104691468
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSLIMMING GRACE LLC
Location Address1901 JOHNSON AVE UNIT 3371Kingman, AZ 86402-1616
Mailing AddressPo Box 3371Kingman, AZ 86402-3371 · (928) 279-5076
Phone(928) 279-5076
Fax(949) 695-3692
Organization SubpartNo
Authorized OfficialDanni OwensOwner · (928) 279-5076
Enumeration DateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1104691468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1901 JOHNSON AVE UNIT 3371, Kingman, AZ 86402
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2300357

Slimming Grace · Kingman, AZ
Active · expires Mar 7, 2028
CLIA Number03D2300357
Laboratory TypePractitioner Other
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorDanni Owens
Laboratory Phone(928) 307-7688
Laboratory LocationSlimming Grace1115 N Stockton Hill Rd Ste 101, Kingman, AZ 86401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Slimming Grace LLC's NPI number?

The NPI number for Slimming Grace LLC is 1104691468. It was assigned to this organization in the NPPES registry on November 16, 2023.

Where is Slimming Grace LLC located?

Slimming Grace LLC is located at 1901 Johnson Ave Unit 3371, Kingman, AZ 86402. The listed phone number is (928) 279-5076.

What is Slimming Grace LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Slimming Grace LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2300357) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Slimming Grace LLC was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.