Avvsc Lawrenceville, Llc
LBN: Avvsc Lawrenceville, Llc
Avvsc Lawrenceville, Llc is an health care organization with primary practice located at 600 Professional Dr Suite 160B, Lawrenceville GA 30046-7651. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Avvsc Lawrenceville, Llc can be contacted via phone (678) 878-4555, or through Tilara, Amish via phone (678) 878-4555.
Contact Information
Primary practice address
600 Professional Dr Suite 160B
Lawrenceville GA 30046-7651
Phone: (678) 878-4555
Fax: (678) 878-4556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ||
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | ||
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1427435007 |
|---|---|
| LBN Legal business name | Avvsc Lawrenceville, Llc |
| DBA Doing business as | |
| Authorized official | Tilara, Amish Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2015 |
| Last updated | Jun 30th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427435007 | NPPES |
| Georgia | MEDICAID | 11C0001456 |
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