Metrolina Urology Clinic Pa

LBN: Metrolina Urology Clinic Pa
Metrolina Urology Clinic Pa is an health care organization with primary practice located at 1900 Randolph Rd Suite 310, Charlotte NC 28207-1106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Metrolina Urology Clinic Pa can be contacted via phone (704) 358-8780, or through Gardner, Derek C via phone (704) 358-8780.

Contact Information

Primary practice address
1900 Randolph Rd Suite 310 Charlotte NC 28207-1106
Phone: (704) 358-8780
Fax: (704) 358-1530
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Derek C Doctor of Medicine (MD)
Phone: (704) 358-8780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1952380958
LBN Legal business name Metrolina Urology Clinic Pa
DBA Doing business as
Authorized official Gardner, Derek C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1952380958 NPPES
Other 0124P BLUE CROSS BLUE SHIELD

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