REDICLINIC OF PA, LLC - NPI 1144622317 - Clinic/Center in Philadelphia, PA

Q: What is Rediclinic Of PA, LLC's NPI number?

The NPI number for Rediclinic Of PA, LLC is 1144622317. It was assigned to this organization in the NPPES registry on September 19, 2014.

Q: What is Rediclinic Of PA, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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About Rediclinic Of Pa, Llc NPPES

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

REDICLINIC OF PA, LLC (NPI 1144622317) is a healthcare organization registered as a clinic/center in Philadelphia, Pennsylvania and active in the NPI registry since September 2014. The organization lists Danielle Barrera, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1144622317

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameREDICLINIC OF PA, LLC

Location Address7401 OGONTZ AVEPhiladelphia, PA 19138-1323

Mailing Address9 Greenway Plz, Ste. 2950Houston, TX 77046-0905 · (713) 335-1754

Phone(713) 335-1754

Organization SubpartNo

Authorized OfficialDanielle BarreraChief Operating Officer · (713) 580-9489

Enumeration DateSeptember 19, 2014

✔ NPI 1144622317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

7401 OGONTZ AVE, Philadelphia, PA 19138

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SHAJI JOSEPH

Pharmacist