IMPACTMEDICAL, LLC
NPI 1790387694
Clinic/Center - Multi-Specialty in Phoenix, AZ

Q: What is Impactmedical, LLC's NPI number?

The NPI number for Impactmedical, LLC is 1790387694. It was assigned to this organization in the NPPES registry on November 15, 2020.

Q: What is Impactmedical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since November 15, 2020

701 W GLENDALE AVE, PHOENIX, AZ 85021(602) 762-1128 Get Directions Write a Review

NPPES record last updated: November 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Impactmedical, Llc NPPES

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

IMPACTMEDICAL, LLC (NPI 1790387694) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since November 2020. The organization lists Matthew Coen, Director, as its authorized official.

NPPES Registry Identity

NPI1790387694

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameIMPACTMEDICAL, LLC

Location Address701 W GLENDALE AVEPhoenix, AZ 85021-8629

Mailing Address7000 N 16th St Ste 102-201Phoenix, AZ 85020-5512 · (602) 762-1128

Phone(602) 762-1128

Organization SubpartNo

Authorized OfficialMatthew CoenDirector · (602) 762-1128

Enumeration DateNovember 15, 2020

NPPES CertifiedNovember 15, 2020

✔ NPI 1790387694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X

701 W GLENDALE AVE, Phoenix, AZ 85021

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Other Providers at the Same Location NPPES 2

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

MRI OF ARIZONA INC

Clinical Medical Laboratory

701 W GLENDALE AVE
PHOENIX, AZ 85021

Maricopa County (602) 294-9009

ACCIDENT & INJURY SOLUTIONS

General Practice

701 W GLENDALE AVE
PHOENIX, AZ 85021

Maricopa County (602) 466-9664

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 Impactmedical, LLC's NPI number?

The NPI number for Impactmedical, LLC is 1790387694. It was assigned to this organization in the NPPES registry on November 15, 2020.

Where is Impactmedical, LLC located?

Impactmedical, LLC is located at 701 W Glendale Ave, Phoenix, AZ 85021. The listed phone number is (602) 762-1128.

What is Impactmedical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Impactmedical, LLC was last updated on November 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.