Lakeside Edx Llc

LBN: Lakeside Edx Llc
Lakeside Edx Llc is an health care organization with primary practice located at 495 Grand Blvd Ste 206 , Miramar Beach FL 32550-1897. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Lakeside Edx Llc can be contacted via phone (800) 416-1767, or through Winger, Thomas via phone (800) 416-1767.

Contact Information

Primary practice address
495 Grand Blvd Ste 206 Miramar Beach FL 32550-1897
Phone: (800) 416-1767
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Winger, Thomas
Phone: (800) 416-1767

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1730763244
LBN Legal business name Lakeside Edx Llc
DBA Doing business as
Authorized official Winger, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2021
Last updated May 11th, 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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