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DESTINEY EMERGENCY MEDICAL SERVICES LLC NPI 1588345219


NPI Information

NPI: 1588345219
Provider Name: DESTINEY EMERGENCY MEDICAL SERVICES LLC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

CLIA Number: 11D2290250

Address:
3800 HOLCOMB BRIDGE RD # B1
NORCROSS, GA
ZIP 30092
Phone: (404) 662-9961
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DESTINEY EMERGENCY MEDICAL SERVICES LLC is an emergency medical services emergency medicine in Norcross, GA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DESTINEY EMERGENCY MEDICAL SERVICES LLC NPI is 1588345219. The provider is registered as an organization entity type.

The provider's business location address is:

3800 HOLCOMB BRIDGE RD # B1
NORCROSS, GA
ZIP 30092-218
Phone: (404) 662-9961
Fax: (678) 550-9688

The provider's authorized official is Ejike Chika Anadu .
The authorized official title is Ceo and has the following contact phone number (404) 662-9961.

The CLIA number assigned to this NPI record is 11D2290250 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2023 and was last updated on 7/26/2023.


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
1251E00000XHome HealthNo
2343900000XNon-emergency Medical Transport (VAN)No
3207PE0004XEmergency MedicineEmergency Medical ServicesYes

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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