Suburban Surgical Associates, Inc.

LBN: Suburban Surgical Associates, Inc.
Suburban Surgical Associates, Inc. is an health care organization with primary practice located at 555 N. New Ballas Rd Suite 265, Saint Louis MO 63141-6825. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Suburban Surgical Associates, Inc. can be contacted via phone (314) 991-4644, or through Molloy, Lisa M via phone (314) 991-4644.

Contact Information

Primary practice address
555 N. New Ballas Rd Suite 265 Saint Louis MO 63141-6825
Phone: (314) 991-4644
Fax: (314) 991-4910
Website:
Map and Directions
Authorized official contact:
Name: Molloy, Lisa M MBA
Phone: (314) 991-4644

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1699802330
LBN Legal business name Suburban Surgical Associates, Inc.
DBA Doing business as
Authorized official Molloy, Lisa M MBA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Jun 30th, 2010 - about 15 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 1699802330 NPPES
Missouri MEDICAID 507396109

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