Pediatric Cardiology Services, Llc
LBN: Pediatric Cardiology Services, Llc
Pediatric Cardiology Services, Llc is an health care organization with primary practice located at 500 Medical Center Blvd Suite 390, Lawrenceville GA 30046-8708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty.
Pediatric Cardiology Services, Llc can be contacted via phone (770) 995-6684, or through Videlefsky, Neill via phone (770) 995-6684.
Contact Information
Primary practice address
500 Medical Center Blvd Suite 390
Lawrenceville GA 30046-8708
Phone: (770) 995-6684
Fax: (770) 995-7631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | Georgia |
Profile Details
| NPI number | 1174813737 |
|---|---|
| LBN Legal business name | Pediatric Cardiology Services, Llc |
| DBA Doing business as | |
| Authorized official | Videlefsky, Neill Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 15th, 2011 |
| Last updated | Sep 12th, 2012 - about 12 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 | 1174813737 | NPPES |
| Georgia | MEDICAID | 000740891A | |
| Georgia | MEDICAID | 000326873G |
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