Southern Endoscopy Suite, Llc

LBN: Southern Endoscopy Suite, Llc
Southern Endoscopy Suite, Llc is an health care organization with primary practice located at 763 Old Norcross Rd , Lawrenceville GA 30045-4317. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Endoscopy. Ambulatory Health Care Facilities / Endoscopy is the primary health care specialty. Southern Endoscopy Suite, Llc can be contacted via phone (678) 985-2000, or through Kukler, Mark B. via phone (678) 985-2000.

Contact Information

Primary practice address
763 Old Norcross Rd Lawrenceville GA 30045-4317
Phone: (678) 985-2000
Fax: (678) 985-1999
Website:
Map and Directions
Authorized official contact:
Name: Kukler, Mark B. Doctor of Osteopathy (DO)
Phone: (678) 985-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X
Ambulatory Health Care Facilities / Endoscopy 261QE0800X 067-200 Georgia

Profile Details

NPI number 1215986609
LBN Legal business name Southern Endoscopy Suite, Llc
DBA Doing business as
Authorized official Kukler, Mark B. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Nov 28th, 2017 - about 7 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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