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INTERVENTIONAL DIABETES CENTER LLC 3
NPI 1881483733
Podiatrist in Memphis, TN

Active since May 06, 2025CLIA 44D2331992 · Waiver
5362 ESTATE OFFICE DR STE 1, MEMPHIS, TN 38119(901) 791-1711 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Interventional Diabetes Center Llc 3 NPPES

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

INTERVENTIONAL DIABETES CENTER LLC 3 (NPI 1881483733) is a healthcare organization registered as a podiatrist in Memphis, Tennessee and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Maurice Hampton, Owner, as its authorized official.

NPPES Registry Identity

NPI1881483733
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameINTERVENTIONAL DIABETES CENTER LLC 3
Location Address5362 ESTATE OFFICE DR STE 1Memphis, TN 38119-3630
Mailing Address5362 Estate Office Dr Ste 1Memphis, TN 38119-3630 · (901) 791-1711
Phone(901) 791-1711
Organization SubpartNo
Authorized OfficialMaurice HamptonOwner · (901) 791-1711
Enumeration DateMay 6, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1881483733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedNurse PractitionerTaxonomy 363L00000X
5362 ESTATE OFFICE DR STE 1, Memphis, TN 38119
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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

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 44D2331992

Interventinal Diabetes Center LLC 3 · Memphis, TN
Active · expires Oct 12, 2027
CLIA Number44D2331992
Laboratory TypePractitioner Other
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorAntonio L. Knowles
Laboratory Phone(662) 834-3432
Laboratory LocationInterventinal Diabetes Center LLC 35362 Estate Office Dr, Ste 1, Memphis, TN 38119
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Interventional Diabetes Center LLC 3's NPI number?

The NPI number for Interventional Diabetes Center LLC 3 is 1881483733. It was assigned to this organization in the NPPES registry on May 6, 2025.

Where is Interventional Diabetes Center LLC 3 located?

Interventional Diabetes Center LLC 3 is located at 5362 Estate Office Dr Ste 1, Memphis, TN 38119. The listed phone number is (901) 791-1711.

What is Interventional Diabetes Center LLC 3's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Does Interventional Diabetes Center LLC 3 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2331992) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Interventional Diabetes Center LLC 3 was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.