RADIUS SURGERY CENTER LLC NPI 1215302906

NPI Information

NPI: 1215302906
Provider Name: RADIUS SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2107265

Address:
600 PROFESSIONAL DR
SUITE 150
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 333-7888
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RADIUS SURGERY CENTER LLC is an ambulatory surgical clinic center in Lawrenceville, GA. RADIUS SURGERY CENTER LLC NPI is 1215302906. The provider is registered as an organization entity type.

The provider's business location address is:

600 PROFESSIONAL DR
SUITE 150
LAWRENCEVILLE, GA
ZIP 30046-651
Phone: (770) 333-7888
Fax: (770) 333-7889

The provider's authorized official is Viralkumar Patel .
The authorized official title is Ceo and has the following contact phone number (770) 333-7888.

The CLIA number assigned to this NPI record is 11D2107265 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2015 and was last updated on 12/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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