Colleyverse Iom, Llc

LBN: Colleyverse Iom, Llc
Colleyverse Iom, Llc is an health care organization with primary practice located at 500 Throckmorton Street Unit 3309, Fort Worth TX 76102. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as the primary health care specialty. Colleyverse Iom, Llc can be contacted via phone (817) 908-8124, or through Lastmosa, Augusto C via phone (817) 366-4777.

Contact Information

Primary practice address
500 Throckmorton Street Unit 3309 Fort Worth TX 76102
Phone: (817) 908-8124
Fax: (817) 885-7339
Website:
Map and Directions
Authorized official contact:
Name: Lastmosa, Augusto C Doctor of Medicine (MD)
Phone: (817) 366-4777

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1013549278
LBN Legal business name Colleyverse Iom, Llc
DBA Doing business as
Authorized official Lastmosa, Augusto C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2020
Last updated Feb 6th, 2020 - about 5 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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