Performance Medical Clinic Llc

LBN: Center For Advanced Medicine Llc
Performance Medical Clinic Llc is an health care organization with primary practice located at 5036 N Illinois St Suite 1, Fairview Heights IL 62208. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Center For Advanced Medicine Llc can be contacted via phone (618) 671-6800, or through Ambrose, Michael Thomas via phone (618) 420-9360.

Contact Information

Primary practice address
5036 N Illinois St Suite 1 Fairview Heights IL 62208
Phone: (618) 671-6800
Fax: (619) 671-6604
Website:
Map and Directions
Authorized official contact:
Name: Ambrose, Michael Thomas
Phone: (618) 420-9360

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1255746715
LBN Legal business name Center For Advanced Medicine Llc
DBA Doing business as Performance Medical Clinic Llc
Authorized official Ambrose, Michael Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2014
Last updated Jul 18th, 2018 - about 7 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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