Healthcare Provider Details

I. General information

NPI: 1528768157
Provider Name (Legal Business Name): CLIFINT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5939 E SWEETWATER AVE
SCOTTSDALE AZ
85254-4377
US

IV. Provider business mailing address

5939 E SWEETWATER AVE
SCOTTSDALE AZ
85254-4377
US

V. Phone/Fax

Practice location:
  • Phone: 847-687-9909
  • Fax:
Mailing address:
  • Phone: 847-687-9909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: CHERIAN JACOB
Title or Position: CHIEF TECHNOLOGY OFFICER
Credential:
Phone: 847-687-9909