Provider Demographics
NPI:1417494584
Name:CLINICAL LOGISTICS SOLUTIONS-SOUTHERN ARIZONA, LLC
Entity Type:Organization
Organization Name:CLINICAL LOGISTICS SOLUTIONS-SOUTHERN ARIZONA, LLC
Other - Org Name:OPTIMIZE THERAPIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL EXPERT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-241-2604
Mailing Address - Street 1:6619 N SCOTTSDALE RD # 8
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-4421
Mailing Address - Country:US
Mailing Address - Phone:520-499-1510
Mailing Address - Fax:
Practice Address - Street 1:6619 N SCOTTSDALE RD # 8
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250
Practice Address - Country:US
Practice Address - Phone:520-499-1510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-26
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ166225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty