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CLEAN COLONIC LLC
NPI 1609226364
Durable Medical Equipment & Medical Supplies in Tempe, AZ

Active since June 14, 2016
7560 S. WILLOW DR, TEMPE, AZ 85283(952) 994-3554 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2017, Jun 14, 2016 (2 updates tracked since 2016).

About Clean Colonic Llc NPPES

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

CLEAN COLONIC LLC (NPI 1609226364) is a healthcare organization registered as a durable medical equipment & medical supplies in Tempe, Arizona and active in the NPI registry since June 2016. The organization lists Carolyn Dee Berry, Colon Hydrotherapist, as its authorized official.

NPPES Registry Identity

NPI1609226364
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCLEAN COLONIC LLC
Location Address7560 S. WILLOW DRTempe, AZ 85283
Mailing Address7560 S Willow DrTempe, AZ 85283-5004 · (480) 269-5575
Phone(952) 994-3554
Organization SubpartNo
Authorized OfficialCarolyn Dee BerryColon Hydrotherapist · (480) 269-5575
Enumeration DateJune 14, 2016
Last NPPES UpdateJanuary 19, 20172 updates tracked since enumeration
✔ NPI 1609226364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedPublic Health or WelfareTaxonomy 251K00000X
7560 S. WILLOW DR, Tempe, AZ 85283
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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 Clean Colonic LLC's NPI number?

The NPI number for Clean Colonic LLC is 1609226364. It was assigned to this organization in the NPPES registry on June 14, 2016.

Where is Clean Colonic LLC located?

Clean Colonic LLC is located at 7560 S. Willow Dr, Tempe, AZ 85283. The listed phone number is (952) 994-3554.

What is Clean Colonic LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Clean Colonic LLC was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.