Premium Life Medical Center Llc

LBN: Premium Life Medical Center Llc
Premium Life Medical Center Llc is an health care organization with primary practice located at 639 Beaver Ruin Rd Nw Ste A , Lilburn GA 30047-3473. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Premium Life Medical Center Llc can be contacted via phone (678) 395-3443, or through Ramirez, Raymond via phone (678) 395-3443.

Contact Information

Primary practice address
639 Beaver Ruin Rd Nw Ste A Lilburn GA 30047-3473
Phone: (678) 395-3443
Fax: (770) 837-2426
Website:
Map and Directions
Authorized official contact:
Name: Ramirez, Raymond Doctor of Medicine (MD)
Phone: (678) 395-3443

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1275233611
LBN Legal business name Premium Life Medical Center Llc
DBA Doing business as
Authorized official Ramirez, Raymond Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2023
Last updated Mar 6th, 2023 - about 2 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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