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CENTRO PRENATAL DE GWINNETT LLC NPI 1578113585


NPI Information

NPI: 1578113585
Provider Name: CENTRO PRENATAL DE GWINNETT LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 11D1061089

Address:
575 W PIKE ST STE 1
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 277-0230
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CENTRO PRENATAL DE GWINNETT LLC is a medical specialty clinic center in Lawrenceville, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CENTRO PRENATAL DE GWINNETT LLC NPI is 1578113585. The provider is registered as an organization entity type.

The provider's business location address is:

575 W PIKE ST STE 1
LAWRENCEVILLE, GA
ZIP 30046-685
Phone: (770) 277-0230

The provider's authorized official is Rosalba Gomez .
The authorized official title is Ceo and has the following contact phone number (678) 492-8477.

The CLIA number assigned to this NPI record is 11D1061089 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/12/2019 and was last updated on 9/12/2019.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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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