Provider Demographics
NPI:1083814032
Name:HARMON DIABETES CENTER, LLC
Entity Type:Organization
Organization Name:HARMON DIABETES CENTER, LLC
Other - Org Name:HARMON DIABETES CENTER, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-276-4218
Mailing Address - Street 1:2188 E MEYER BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1183
Mailing Address - Country:US
Mailing Address - Phone:816-276-9410
Mailing Address - Fax:816-523-3693
Practice Address - Street 1:2188 E MEYER BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1183
Practice Address - Country:US
Practice Address - Phone:816-276-9410
Practice Address - Fax:816-523-3693
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE RESEARCH FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-18
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)