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

Organization Multi-Specialty Clinic/Center · NPI 1932677291

Pure Life Clinic LLC is a Multi-Specialty Clinic/Center in Indianapolis, Indiana. Registered with an NPI since 2018.

In the registry since
2018
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

4725 Statesmen Dr Ste B
Indianapolis, IN 46250-5645
Phone: (480) 566-9755
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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

Record details

NPI number1932677291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawn Vigneau — Sole Mbr · (480) 290-9899
NPI enumeratedNovember 5, 2018
Last updated in NPPESNovember 5, 2018
Mailing address4725 Statesmen Dr Ste B, Indianapolis, IN 46250-5645

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