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INNOVATIVE DIABETIC CENTER, LLC
NPI 1235997602
Family Medicine in Scottsdale, AZ

Active since March 11, 2024CLIA Certified · 2 labs
10210 N 92ND ST STE 104, SCOTTSDALE, AZ 85258(480) 493-0900(833) 228-0846 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 31, 2025, Sep 16, 2025, Nov 18, 2024 and 1 more (4 updates tracked since 2024).

About Innovative Diabetic Center, Llc NPPES

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

INNOVATIVE DIABETIC CENTER, LLC (NPI 1235997602) is a healthcare organization registered as a family medicine in Scottsdale, Arizona and active in the NPI registry since March 2024. The organization holds 2 active CLIA laboratory certificates and lists Amy Lorraine Hunn, President, as its authorized official.

NPPES Registry Identity

NPI1235997602
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVATIVE DIABETIC CENTER, LLC
Location Address10210 N 92ND ST STE 104Scottsdale, AZ 85258-4531
Mailing Address10210 N 92nd St Ste 104Scottsdale, AZ 85258-4531 · (480) 493-0900 · Fax (833) 228-0846
Phone(480) 493-0900
Fax(833) 228-0846
Organization SubpartNo
Authorized OfficialAmy Lorraine HunnPresident · (480) 493-0900
Enumeration DateMarch 11, 2024
Last NPPES UpdateDecember 31, 20254 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1235997602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ 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.

Also ListedNutritionistTaxonomy 133N00000X
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X
Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedClinic/Center · Infusion TherapyTaxonomy 261QI0500X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedNurse PractitionerTaxonomy 363L00000X
10210 N 92ND ST STE 104, Scottsdale, AZ 85258
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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 2

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 03D2304560

Innovative Diabetic Center, LLC · Scottsdale, AZ
Active · expires May 14, 2028
CLIA Number03D2304560
Laboratory TypeDiabetic Infusion Clinic
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorAustin Mills
Laboratory Phone(480) 493-0900
Laboratory LocationInnovative Diabetic Center, LLC10210 N 92nd St, Ste 104, Scottsdale, AZ 85258
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2345067

Innovative Diabetic Center LLC · Prescott, AZ
Active · expires Jun 3, 2028
CLIA Number03D2345067
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorSanjay B. Patel
Laboratory Phone(480) 493-0900
Laboratory LocationInnovative Diabetic Center LLC3625 Crossings Dr Ste C, Prescott, AZ 86305
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DALTON MAIN PT, DPT
Physical Therapist
10210 N 92ND ST STE 104
SCOTTSDALE, AZ 85258
Maricopa County (480) 493-0900
AUSTIN MILL ACNP-BC
Nurse Practitioner
10210 N 92ND ST STE 104
SCOTTSDALE, AZ 85258
Maricopa County (480) 493-0900
INNOVATIVE WOUND SOLUTIONS, LLC
Clinic/Center (Multi-Specialty)
10210 N 92ND ST STE 104
SCOTTSDALE, AZ 85258
Maricopa County (480) 493-0900

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 Innovative Diabetic Center, LLC's NPI number?

The NPI number for Innovative Diabetic Center, LLC is 1235997602. It was assigned to this organization in the NPPES registry on March 11, 2024.

Where is Innovative Diabetic Center, LLC located?

Innovative Diabetic Center, LLC is located at 10210 N 92nd St Ste 104, Scottsdale, AZ 85258. The listed phone number is (480) 493-0900.

What is Innovative Diabetic Center, LLC's specialty?

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

Does Innovative Diabetic Center, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Innovative Diabetic Center, LLC was last updated on December 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.