Performance Spine & Sports Medicine

LBN: Performance Spine & Sports Medicine
Performance Spine & Sports Medicine is an health care organization with primary practice located at 4056 Quakerbridge Rd Ste 112 , Lawrenceville NJ 08648-4779. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Performance Spine & Sports Medicine can be contacted via phone (609) 588-8600, or through Wiederholz, Matthias via phone (609) 588-8600.

Contact Information

Primary practice address
4056 Quakerbridge Rd Ste 112 Lawrenceville NJ 08648-4779
Fax: (609) 588-8602
Website:
Authorized official contact:
Name: Wiederholz, Matthias

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 25MA08436100 New Jersey
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 25MD00303700 New Jersey

Profile Details

NPI number 1356610133
LBN Legal business name Performance Spine & Sports Medicine
DBA Doing business as
Authorized official Wiederholz, Matthias
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2011
Last updated Apr 25th, 2024 - about 8 months 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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