Georgia Urology Ambulatory Surgical Center Llc

LBN: Georgia Urology Ambulatory Surgical Center Llc
Georgia Urology Ambulatory Surgical Center Llc is an health care organization with primary practice located at 2685 Milscott Dr , Decatur GA 30033-5906. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Georgia Urology Ambulatory Surgical Center Llc can be contacted via phone (404) 292-3727, or through Haber, Mark A via phone (678) 284-4049.

Contact Information

Primary practice address
2685 Milscott Dr Decatur GA 30033-5906
Phone: (404) 292-3727
Fax: (404) 294-9674
Website:
Map and Directions
Authorized official contact:
Name: Haber, Mark A Doctor of Medicine (MD)
Phone: (678) 284-4049

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X Georgia

Profile Details

NPI number 1891716049
LBN Legal business name Georgia Urology Ambulatory Surgical Center Llc
DBA Doing business as
Authorized official Haber, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Jan 20th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891716049 NPPES
Georgia Other 11D1025964 CLIA

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