Spinesource America, L.L.C in Lexington - Prosthetic/orthotic Supplier
Spinesource America, L.L.C - NPI 1124025333
Spinesource America, L.L.C is a Prosthetic/orthotic Supplier in Lexington, Kentucky. Spinesource America, L.L.C practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Spinesource America, L.L.C is 1124025333. The last update date is 2020-08-22.
Spinesource America, L.L.C's current location address is 354 Waller Ave, Lexington, Kentucky. You can contact this provider via phone number 8592608576 and fax number 8592011088. The mailing address for Spinesource America, L.L.C is 354 Waller Ave, Lexington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Spinesource America, L.L.C |
|---|---|
| Address | 354 Waller Ave, Lexington, Kentucky |
| Phone Number | 8592608576 |
| Fax Number | 8592011088 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Clifton M Jim |
| Telephone Number | 8592608576 |
NPI Number Detail
| NPI Number | 1124025333 |
|---|---|
| Provider Enumeration Date | 2005-07-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 354 Waller Ave |
|---|---|
| City | Lexington |
| State | Kentucky (KY) |
| Post Code | 405042916 |
| Phone Number | 8592608576 |
| Fax Number | 8592011088 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
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Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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What is the unique provider identifier assigned to Spinesource America, L.L.C?
The Spinesource America, L.L.C has been issued the NPI (National Provider Identifier) 1124025333 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Spinesource America, L.L.C?
The Spinesource America, L.L.C is situated at 354 Waller Ave, in the city of Lexington, state of KY, with the zip code 405042916.
What is the Spinesource America, L.L.C's specialty and taxonomy code?
The Spinesource America, L.L.C's specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
On what date did the Spinesource America, L.L.C receive the assignment of its 1124025333 from the Centers for Medicare & Medicaid Services?
The Spinesource America, L.L.C was issued its 1124025333 by the Centers for Medicare & Medicaid Services on 2005-07-01.
When was the Spinesource America, L.L.C's information last updated?
The Spinesource America, L.L.C's information was last updated on 2020-08-22.