Forma Medical Group Llc

LBN: Forma Medical Group Llc
Forma Medical Group Llc is an health care organization with primary practice located at 570 S Edmonds Ln Ste 106 , Lewisville TX 75067-3542. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Forma Medical Group Llc can be contacted via phone (319) 594-4108, or through Tilak, Anup via phone (319) 594-4108.

Contact Information

Primary practice address
570 S Edmonds Ln Ste 106 Lewisville TX 75067-3542
Phone: (319) 594-4108
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tilak, Anup
Phone: (319) 594-4108

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1073227179
LBN Legal business name Forma Medical Group Llc
DBA Doing business as
Authorized official Tilak, Anup
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2023
Last updated Jan 12th, 2023 - about 2 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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