Statesville Medical Management Services, Llc

LBN: Statesville Medical Management Services, Llc
Statesville Medical Management Services, Llc is an health care organization with primary practice located at 1503 E Broad St , Statesville NC 28625-4301. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Statesville Medical Management Services, Llc can be contacted via phone (704) 896-3313, or through Smith, Erika via phone (704) 896-3313.

Contact Information

Primary practice address
1503 E Broad St Statesville NC 28625-4301
Phone: (704) 896-3313
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Erika
Phone: (704) 896-3313

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1740684117
LBN Legal business name Statesville Medical Management Services, Llc
DBA Doing business as
Authorized official Smith, Erika
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2014
Last updated Oct 15th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740684117 NPPES
Other 34D2076118 CLIA CERTIFICATE

Popular Providers