Serenity Medical, Llc

LBN: Serenity Medical, Llc
Serenity Medical, Llc is an health care organization with primary practice located at 1198 Buckhead Xing Suite B, Woodstock GA 30189-4257. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Serenity Medical, Llc can be contacted via phone (770) 591-0704, or through Kniery, Patrick via phone (770) 591-0704.

Contact Information

Primary practice address
1198 Buckhead Xing Suite B Woodstock GA 30189-4257
Phone: (770) 591-0704
Fax: (770) 591-9433
Website:
Map and Directions
Authorized official contact:
Name: Kniery, Patrick
Phone: (770) 591-0704

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1326017021
LBN Legal business name Serenity Medical, Llc
DBA Doing business as
Authorized official Kniery, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 30th, 2010 - about 14 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 1326017021 NPPES
Georgia MEDICAID 000905198A

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