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ORTHOPEDIC CENTER PC NPI 1285701482


NPI Information

NPI: 1285701482
Provider Name: ORTHOPEDIC CENTER PC

Doing Business As: SOUTHEASTERN ORTHOPEDIC CENTER

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

CLIA Number: 11D2274313

Address:
1601 FAIR RD STE 1100
STATESBORO, GA
ZIP 30458
Phone: (912) 681-6747
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ORTHOPEDIC CENTER PC is a magnetic resonance imaging (mri) clinic center in Statesboro, GA. ORTHOPEDIC CENTER PC NPI is 1285701482. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeastern Orthopedic Center.

The provider's business location address is:

1601 FAIR RD STE 1100
STATESBORO, GA
ZIP 30458-801
Phone: (912) 681-6747

The provider's authorized official is Michael W Kleinpeter .
The authorized official title is Ceo and has the following contact phone number (912) 644-5300.

The CLIA number assigned to this NPI record is 11D2274313 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 11/2/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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