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A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Fertility Facility |
261QA0006X |
| NPI # | 1710073176 |
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| LBN Legal business name | EVERGREEN AESTHETIC INSTITUTE LLC | ||||
| Authorized official | THEODORE FIFER - (MEDICAL DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/05/2006 | ||||
| Last updated | 08/22/2020 - About 6 years ago | ||||
| Identifiers |
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EVERGREEN AESTHETIC INSTITUTE LLC