Mountain Laurel Surgery Center L.L.C.

LBN: Mountain Laurel Surgery Center L.L.C.
Mountain Laurel Surgery Center L.L.C. is an health care organization with primary practice located at 1860 Fair Ave Ste B , Honesdale PA 18431-2182. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Mountain Laurel Surgery Center L.L.C. can be contacted via phone (570) 253-6688, or through Reynolds, David via phone (570) 253-3391.

Contact Information

Primary practice address
1860 Fair Ave Ste B Honesdale PA 18431-2182
Fax: (570) 253-1811
Website:
Authorized official contact:
Name: Reynolds, David Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1518916758
LBN Legal business name Mountain Laurel Surgery Center L.L.C.
DBA Doing business as
Authorized official Reynolds, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2006
Last updated Nov 1st, 2007 - about 17 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 1518916758 NPPES
Pennsylvania Other 821485 FIRST PRIORITY
Pennsylvania Other P00369599 FIRST PRIORITY
Pennsylvania Other 991085 FIRST PRIORITY

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