Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory |
| NPI # | 1184687386 |
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| LBN Legal business name | DIGESTIVECARE, LLC | ||||||||||||
| Authorized official | CHRISTOPHER HARTSHORN - (OFFICER/AUTHORIZED OFFICIAL) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 04/10/2006 | ||||||||||||
| Last updated | 09/02/2025 - About 9 months ago | ||||||||||||
| Identifiers |
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