Provider Demographics
NPI:1922971613
Name:STAY DRIPPED MOBILE IV LLC
Entity type:Organization
Organization Name:STAY DRIPPED MOBILE IV LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:SABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-761-0492
Mailing Address - Street 1:1731 E VERDE LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7627
Mailing Address - Country:US
Mailing Address - Phone:602-688-9825
Mailing Address - Fax:206-796-7443
Practice Address - Street 1:1731 E VERDE LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7627
Practice Address - Country:US
Practice Address - Phone:602-688-9825
Practice Address - Fax:206-796-7443
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STAY DRIPPED WELLNESS COMPANY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251F00000XAgenciesHome Infusion
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
No163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical LaboratoryGroup - Multi-Specialty
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy