Georgia Lithotripsy And Laser Center
LBN: Georgia Lithotripsy And Laser Center
Georgia Lithotripsy And Laser Center is an health care organization with primary practice located at 120 Trinity Pl , Athens GA 30607-2100. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Lithotripsy, Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Georgia Lithotripsy And Laser Center can be contacted via phone (706) 543-2718, or through Allen, David C via phone (706) 543-2718.
Contact Information
Primary practice address
120 Trinity Pl
Athens GA 30607-2100
Phone: (706) 543-2718
Fax: (706) 353-3709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | ||
| Ambulatory Health Care Facilities / Lithotripsy | 261QL0400X | 029-044 | Georgia |
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1386739498 |
|---|---|
| LBN Legal business name | Georgia Lithotripsy And Laser Center |
| DBA Doing business as | |
| Authorized official | Allen, David C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Nov 5th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386739498 | NPPES |
| Georgia | Other | 590 | BLUE CROSS BLUE SHIELD |
| Georgia | MEDICAID | 00451316A | BLUE CROSS BLUE SHIELD |
| Georgia | Other | 581596177001 | BLUE CROSS BLUE SHIELD |
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