Intrepid Lane Asc, Llc

LBN: Intrepid Lane Asc, Llc
Intrepid Lane Asc, Llc is an health care organization with primary practice located at 190 Intrepid Ln , Syracuse NY 13205-2545. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Intrepid Lane Asc, Llc can be contacted via phone (315) 870-9370, or through Mchone, Benjamin R via phone (315) 870-9370.

Contact Information

Primary practice address
190 Intrepid Ln Syracuse NY 13205-2545
Phone: (315) 870-9370
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mchone, Benjamin R Doctor of Medicine (MD)
Phone: (315) 870-9370

Health care specialties

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

Profile Details

NPI number 1184378846
LBN Legal business name Intrepid Lane Asc, Llc
DBA Doing business as
Authorized official Mchone, Benjamin R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2022
Last updated Mar 31st, 2022 - 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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