Advanced Surgery Of Indiana Llc

LBN: Advanced Surgery Of Indiana Llc
Advanced Surgery Of Indiana Llc is an health care organization with primary practice located at 9470 Bridgewater Cir , Indianapolis IN 46250-3412. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Advanced Surgery Of Indiana Llc can be contacted via phone (317) 598-0094, or through Mimms, Scott Edward via phone (317) 679-1757.

Contact Information

Primary practice address
9470 Bridgewater Cir Indianapolis IN 46250-3412
Phone: (317) 598-0094
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mimms, Scott Edward Doctor of Medicine (MD)
Phone: (317) 679-1757

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 01068514A Indiana

Profile Details

NPI number 1669816799
LBN Legal business name Advanced Surgery Of Indiana Llc
DBA Doing business as
Authorized official Mimms, Scott Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2013
Last updated Apr 19th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669816799 NPPES
Indiana MEDICAID 200986830

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