Ridge Avenue Sports Medicine, Inc.

LBN: Ridge Avenue Sports Medicine, Inc.
Ridge Avenue Sports Medicine, Inc. is an health care organization with primary practice located at 1150 Glenlivet Dr A-21, Allentown PA 18106-3112. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Ridge Avenue Sports Medicine, Inc. can be contacted via phone (484) 664-7700, or through Socrates, Marcy Lea via phone (484) 664-7700.

Contact Information

Primary practice address
1150 Glenlivet Dr A-21 Allentown PA 18106-3112
Fax: (484) 664-7701
Website:
Authorized official contact:
Name: Socrates, Marcy Lea

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X MD025425E Pennsylvania

Profile Details

NPI number 1881987998
LBN Legal business name Ridge Avenue Sports Medicine, Inc.
DBA Doing business as
Authorized official Socrates, Marcy Lea
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2011
Last updated May 23rd, 2011 - about 13 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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