VALUE REAL ESTATE SOLUTIONS LLC NPI 1780886796

NPI Information

NPI: 1780886796
Provider Name: VALUE REAL ESTATE SOLUTIONS LLC

Doing Business As: LAKESIDE SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
810 W CHICAGO AVE
EAST CHICAGO, IN
ZIP 46312
Phone: (219) 392-0500
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VALUE REAL ESTATE SOLUTIONS LLC is an ambulatory surgical clinic center in East Chicago, IN. VALUE REAL ESTATE SOLUTIONS LLC NPI is 1780886796. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeside Surgery Center.

The provider's business location address is:

810 W CHICAGO AVE
EAST CHICAGO, IN
ZIP 46312-307
Phone: (219) 392-0500
Fax: (219) 392-0503

The provider's authorized official is Natallia Kasmouskaya .
The authorized official title is Owner /manager and has the following contact phone number (708) 717-6837.

The CLIA number assigned to this NPI record is 15D1008125 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 7/18/2018.

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			No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	17-003259-1	INDIANA	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

NPI Synchronization or Removal

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