Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1669816799 |
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| LBN Legal business name | ADVANCED SURGERY OF INDIANA LLC | ||||||||
| Authorized official | SCOTT MIMMS - (SURGEON) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/19/2013 | ||||||||
| Last updated | 04/19/2013 - About 13 years ago | ||||||||
| Identifiers |
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ADVANCED SURGERY OF INDIANA LLC