Diabetes Specialty Center Llc is a Prosthetic & Orthotic Supplier in Provo, Utah. This organization is also known as sub part of Diabetes Specialty Center, Llc. It is situated at 1254 N State St, Provo and its contact number is 801-392-2362. The authorized person of Diabetes Specialty Center Llc is Mr. Marc Cohen
who is President of the store and his/her contact number is 801-743-2800. Diabetes Specialty Center Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Diabetes Specialty Center Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Specialization:
Prosthetic & Orthotic Supplier
Address:
1254 N State St, Provo, Utah, 84604-6432
Phone:
801-392-2362
Fax:
801-392-5643
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Marc Cohen
Position:
President
Contact Number:
801-743-2800
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Diabetes Specialty Center Llc center are as mentioned below.
NPI Number:
1245484906
Parent Organization:
Diabetes Specialty Center, Llc
NPI Enumeration Date:
07 Nov, 2008
NPI Last Update On:
16 Mar, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Diabetes Specialty Center Llc are as mentioned below.
Specialization
License Number
State
Status
Durable Medical Equipment & Medical Supplies
Primary
Prosthetic/orthotic Supplier
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5386155
Medicaid
Utah
1841279155
Other
Utah
Medicare Npi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Diabetes Specialty Center Llc 3793 S State St, Salt Lake City, Utah
Zip:
84115-4828
Phone Number:
801-392-2362
Fax Number:
801-392-5643
Patients can reach Diabetes Specialty Center Llc at 1254 N State St, Provo, Utah or can call to book an appointment on 801-392-2362. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.