Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1881728590 |
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| LBN Legal business name | SYSTEM OPTICS LLC | ||||||||||||||||||||||||||||||||
| Authorized official | TODD BEYER - (PRESIDENT) | ||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||
| Enumeration date | 03/15/2007 | ||||||||||||||||||||||||||||||||
| Last updated | 06/18/2021 - About 5 years ago | ||||||||||||||||||||||||||||||||
| Identifiers |
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