Mid-South Cardiovascular Center, Llc
LBN: Mid-South Cardiovascular Center, Llc
Mid-South Cardiovascular Center, Llc is an health care organization with primary practice located at 1211 Union Ave Suite 150, Memphis TN 38104-6638. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty.
Mid-South Cardiovascular Center, Llc can be contacted via phone (901) 725-2222, or through Karri, Someswara Reddy via phone (901) 725-2222.
Contact Information
Primary practice address
1211 Union Ave Suite 150
Memphis TN 38104-6638
Phone: (901) 725-2222
Fax: (901) 725-1133
Website:
Authorized official contact:
Name: Karri, Someswara Reddy Doctor of Medicine (MD)
Phone: (901) 725-2222
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35778 | Tennessee |
Profile Details
| NPI number | 1124171590 |
|---|---|
| LBN Legal business name | Mid-South Cardiovascular Center, Llc |
| DBA Doing business as | |
| Authorized official | Karri, Someswara Reddy Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Apr 21st, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124171590 | NPPES |
| Missouri | MEDICAID | 20573241 | |
| Missouri | MEDICAID | 99220 | |
| Missouri | MEDICAID | 00125364 | |
| Missouri | MEDICAID | 3869275 |
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