Gomed Charleston Llc
LBN: Gomed Charleston Llc
Gomed Charleston Llc is an health care organization with primary practice located at 1671 Belle Isle Ave Ste 110J , Mount Pleasant SC 29464-8336. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Gomed Charleston Llc can be contacted via phone (844) 994-6633, or through Mester, Robert Allan via phone (813) 360-3957.
Contact Information
Primary practice address
1671 Belle Isle Ave Ste 110J
Mount Pleasant SC 29464-8336
Phone: (844) 994-6633
Fax: (470) 235-1861
Website:
Authorized official contact:
Name: Mester, Robert Allan Doctor of Medicine (MD)
Phone: (813) 360-3957
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1790254365 |
|---|---|
| LBN Legal business name | Gomed Charleston Llc |
| DBA Doing business as | |
| Authorized official | Mester, Robert Allan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 13th, 2018 |
| Last updated | Jul 17th, 2024 - about 2 months 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 | 1790254365 | NPPES |
| South Carolina | Other | 42D2160532 | CLIA WAIVER CERTIFICATION |
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