Northlake Endoscopy Center in Tucker - Ambulatory Surgical
Northlake Endoscopy Center - NPI 1871594499
Northlake Endoscopy Center is a Ambulatory Surgical in Tucker, Georgia. Northlake Endoscopy Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Northlake Endoscopy Center is 1871594499. The last update date is 2008-05-08.
Northlake Endoscopy Center's current location address is 1459 Montreal Rd, Tucker, Georgia. You can contact this provider via phone number 7709394721 and fax number 7709391187. The mailing address for Northlake Endoscopy Center is 1459 Montreal Rd, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northlake Endoscopy Center |
|---|---|
| Address | 1459 Montreal Rd, Tucker, Georgia |
| Phone Number | 7709394721 |
| Fax Number | 7709391187 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Beton Robert Ralph |
| Credentials | MD |
| Telephone Number | 7709394721 |
NPI Number Detail
| NPI Number | 1871594499 |
|---|---|
| Provider Enumeration Date | 2005-08-04 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 1459 Montreal Rd |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300846900 |
| Phone Number | 7709394721 |
| Fax Number | 7709391187 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 44047 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000468652A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Northlake Endoscopy Center by the Centers for Medicare & Medicaid Services (CMS)?
The Northlake Endoscopy Center has been assigned the NPI (National Provider Identifier) 1871594499. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Northlake Endoscopy Center?
The Northlake Endoscopy Center is situated at 1459 Montreal Rd, in the city of Tucker, state of GA, with the zip code 300846900.
What is the Northlake Endoscopy Center's area of specialization and corresponding taxonomy classification?
The Northlake Endoscopy Center's specialty field is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871594499 to Northlake Endoscopy Center?
The Centers for Medicare & Medicaid Services originally issued the 1871594499 to Northlake Endoscopy Center on 2005-08-04.
When was the information regarding Northlake Endoscopy Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Northlake Endoscopy Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-08.