Ridge Lake Asc, Llc in Memphis - Ophthalmologic Surgery
Ridge Lake Asc, Llc - NPI 1790844132
Ridge Lake Asc, Llc is a Ophthalmologic Surgery in Memphis, Tennessee. Ridge Lake Asc, Llc practices all healthcare services and medical treatments related to Ophthalmologic Surgery. The NPI Number for Ridge Lake Asc, Llc is 1790844132. The last update date is 2022-07-25.
Ridge Lake Asc, Llc's current location address is 825 Ridge Lake Blvd, Memphis, Tennessee. You can contact this provider via phone number 9016852200 and fax number 9018202342. The mailing address for Ridge Lake Asc, Llc is 825 Ridge Lake Blvd, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ridge Lake Asc, Llc |
|---|---|
| Address | 825 Ridge Lake Blvd, Memphis, Tennessee |
| Phone Number | 9016852200 |
| Fax Number | 9018202342 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Gollamudi R Subba |
| Credentials | MD |
| Telephone Number | 9016852200 |
NPI Number Detail
| NPI Number | 1790844132 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2022-07-25 |
Provider Mailing Address Detail
| Address | 825 Ridge Lake Blvd |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381209411 |
| Phone Number | 9016852200 |
| Fax Number | 9018202342 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmologic Surgery |
|---|---|
| Taxonomy | 261Qs0132X |
| Licence No | 49 |
|
Definition: Provides surgical procedures to treat eye conditions and disorders. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q016777 | TN | -- | |
| 74013 | MS | -- | |
| 190552128 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ridge Lake Asc, Llc by the Centers for Medicare & Medicaid Services?
The Ridge Lake Asc, Llc has been issued the NPI (National Provider Identifier) 1790844132 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ridge Lake Asc, Llc?
The Ridge Lake Asc, Llc is physically situated at 825 Ridge Lake Blvd, in the city of Memphis, state of TN, with the postal code 381209411.
What is Ridge Lake Asc, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ridge Lake Asc, Llc's specialized field of practice is Ophthalmologic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 261Qs0132X.
On what date did the Ridge Lake Asc, Llc receive the assignment of its 1790844132 from the Centers for Medicare & Medicaid Services?
The Ridge Lake Asc, Llc was issued its 1790844132 by the Centers for Medicare & Medicaid Services on 2006-12-08.
As of what date was the information regarding Ridge Lake Asc, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ridge Lake Asc, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-25.
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