Phenom Surgical Llc

LBN: Phenom Surgical Llc
Phenom Surgical Llc is an health care organization with primary practice located at 2750 Prosperity Ave #120, Fairfax VA 22031-4312. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Phenom Surgical Llc can be contacted via phone (703) 659-4557, or through Hegens, Thomas Lamont via phone (703) 659-4557.

Contact Information

Primary practice address
2750 Prosperity Ave #120 Fairfax VA 22031-4312
Phone: (703) 659-4557
Fax: (703) 205-9010
Website:
Map and Directions
Authorized official contact:
Name: Hegens, Thomas Lamont LCSA
Phone: (703) 659-4557

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1871842989
LBN Legal business name Phenom Surgical Llc
DBA Doing business as
Authorized official Hegens, Thomas Lamont LCSA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2012
Last updated May 16th, 2016 - about 9 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 1871842989 NPPES
Virginia Other 2906 NATIONAL SURGICAL ASSISTANT ASSOCIATION
Virginia Other SA0017 NATIONAL SURGICAL ASSISTANT ASSOCIATION

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