Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Impactmedical, LLC

Organization Multi-Specialty Clinic/Center · NPI 1790387694

Impactmedical, LLC is a Multi-Specialty Clinic/Center in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

701 W Glendale Ave
Phoenix, AZ 85021-8629
Phone: (602) 762-1128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1790387694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Coen — Director · (602) 762-1128
NPI enumeratedNovember 15, 2020
Last updated in NPPESNovember 15, 2020
Certification dateNovember 15, 2020
Mailing address7000 N 16th St Ste 102-201, Phoenix, AZ 85020-5512

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