Lake Ridge Anesthesia Llc

LBN: Lake Ridge Anesthesia Llc
Lake Ridge Anesthesia Llc is an health care organization with primary practice located at 12825 Minnieville Road # 220, Woodbridge VA 22192. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Lake Ridge Anesthesia Llc can be contacted via phone (301) 829-7386, or through Izadi, Reza via phone (301) 829-7683.

Contact Information

Primary practice address
12825 Minnieville Road # 220 Woodbridge VA 22192
Phone: (301) 829-7386
Fax: (301) 829-7694
Website:
Map and Directions
Authorized official contact:
Name: Izadi, Reza Doctor of Osteopathy (DO)
Phone: (301) 829-7683

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101237760 Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 0101237760 Virginia

Profile Details

NPI number 1558619254
LBN Legal business name Lake Ridge Anesthesia Llc
DBA Doing business as
Authorized official Izadi, Reza Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2012
Last updated Aug 19th, 2015 - about 10 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.

Request for update

Popular Providers