Idesta Medical Inc

LBN: Idesta Medical Inc
Idesta Medical Inc is an health care organization with primary practice located at 4827 Old National Hwy Unit 2032 , College Park GA 30337-6234. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Technologists, Technicians & Other Technical Service Providers / Phlebotomy is the primary health care specialty. Idesta Medical Inc can be contacted via phone (239) 895-7910, or through Ralph, Idesta via phone (239) 895-7910.

Contact Information

Primary practice address
4827 Old National Hwy Unit 2032 College Park GA 30337-6234
Phone: (239) 895-7910
Fax: (866) 984-3729
Website:
Map and Directions
Authorized official contact:
Name: Ralph, Idesta
Phone: (239) 895-7910

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1063185015
LBN Legal business name Idesta Medical Inc
DBA Doing business as
Authorized official Ralph, Idesta
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2021
Last updated Jul 27th, 2021 - about 3 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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