SOUTHEAST UROLOGY, LLC; NPI #1558757765

Contact Information

SOUTHEAST UROLOGY, LLC

3225 HOSPITAL DR
SUITE 102
JUNEAU, AK 99801-7863

Phone: 907-500-9920
Fax: 253-927-5472
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for SOUTHEAST UROLOGY, LLC

NPI Number	`1558757765`
LBN Legal business name	SOUTHEAST UROLOGY, LLC
Authorized official	PAM STANFILL - (BILLING MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/14/2015
Last updated	04/14/2015 - About 11 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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