Gwinnett Clinic, Ltd

LBN: Gwinnett Clinic, Ltd
Gwinnett Clinic, Ltd is an health care organization with primary practice located at 475 Philip Blvd Ste 301 , Lawrenceville GA 30046-8737. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Gwinnett Clinic, Ltd can be contacted via phone (678) 226-6203, or through Shah, Deep via phone (770) 995-3300.

Contact Information

Primary practice address
475 Philip Blvd Ste 301 Lawrenceville GA 30046-8737
Phone: (678) 226-6203
Fax: (770) 995-3307
Website:
Map and Directions
Authorized official contact:
Name: Shah, Deep MD, MSC
Phone: (770) 995-3300

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1609977198
LBN Legal business name Gwinnett Clinic, Ltd
DBA Doing business as
Authorized official Shah, Deep MD, MSC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609977198 NPPES
Georgia Other 11D1001114 CLIA

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