1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Clinic Center
  6. NPI Profile

PURE LIFE CLINIC LLC
NPI 1932677291
Clinic/Center - Multi-Specialty in Indianapolis, IN

Active since November 05, 2018
4725 STATESMEN DR STE B, INDIANAPOLIS, IN 46250(480) 566-9755 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pure Life Clinic Llc NPPES

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

PURE LIFE CLINIC LLC (NPI 1932677291) is a healthcare organization registered as a multi-specialty in Indianapolis, Indiana and active in the NPI registry since November 2018. The organization lists Shawn Vigneau, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1932677291
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePURE LIFE CLINIC LLC
Location Address4725 STATESMEN DR STE BIndianapolis, IN 46250-5645
Mailing Address4725 Statesmen Dr Ste BIndianapolis, IN 46250-5645 · (480) 566-9755
Phone(480) 566-9755
Organization SubpartNo
Authorized OfficialShawn VigneauSole Mbr · (480) 290-9899
Enumeration DateNovember 5, 2018
✔ NPI 1932677291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4725 STATESMEN DR STE B, Indianapolis, IN 46250
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

PRO SURGE INDY LLC
Clinic/Center (Pain)
4725 STATESMEN DR STE B
INDIANAPOLIS, IN 46250
Marion County (480) 930-4018
CRASH CHIRO SERVICES LLC
Chiropractor
4725 STATESMEN DR STE B
INDIANAPOLIS, IN 46250
Marion County (317) 343-9040
PURE LIFE INJURY LLC
Clinic/Center (Multi-Specialty)
4725 STATESMEN DR STE B
INDIANAPOLIS, IN 46250
Marion County (480) 566-9755
MEDICALLY INTEGRATED CHIROPRACTIC CENTER OF INDIANAPOLIS LLC
Chiropractor
4725 STATESMEN DR STE B
INDIANAPOLIS, IN 46250
Marion County (317) 343-9040

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 Pure Life Clinic LLC's NPI number?

The NPI number for Pure Life Clinic LLC is 1932677291. It was assigned to this organization in the NPPES registry on November 5, 2018.

Where is Pure Life Clinic LLC located?

Pure Life Clinic LLC is located at 4725 Statesmen Dr Ste B, Indianapolis, IN 46250. The listed phone number is (480) 566-9755.

What is Pure Life Clinic 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 Pure Life Clinic LLC was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.