SUD LLC
NPI 1821854712
Preventive Medicine - Addiction Medicine in Phoenix, AZ

Active since February 27, 2024
4919 E HAZEL DR UNIT 1, PHOENIX, AZ 85044(602) 431-1152 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sud Llc NPPES

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

SUD LLC (NPI 1821854712) is a healthcare organization registered as an addiction medicine in Phoenix, Arizona and active in the NPI registry since February 2024. The organization lists Kirsten A Sorensen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1821854712
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameSUD LLC
Location Address4919 E HAZEL DR UNIT 1Phoenix, AZ 85044-7776
Mailing Address4919 E Hazel Dr Unit 1Phoenix, AZ 85044-7776 · (602) 431-1152
Organization SubpartNo
Authorized OfficialKirsten A SorensenAdministrator · (602) 388-1180
Enumeration DateFebruary 27, 2024
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
NPI 1821854712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

4919 E HAZEL DR UNIT 1, Phoenix, AZ 85044

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Specialist
4919 E HAZEL DR UNIT 1
PHOENIX, AZ 85044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821854712, enumerated as an "organization" on February 27, 2024.

The provider is located at 4919 E HAZEL DR UNIT 1 PHOENIX, AZ 85044 and the phone number is (602) 431-1152.

Preventive Medicine with taxonomy code 2083A0300X and a focus in Addiction Medicine.