Provider Type Icon

MID-ATLANTIC MOBILE LITHOTRIPSY LLC NPI 1043456262


NPI Information

NPI: 1043456262
Provider Name: MID-ATLANTIC MOBILE LITHOTRIPSY LLC
Classification: Clinic/Center - 261QL0400X
Entity Type: Organization

Specialization: Lithotripsy

Address:
9825 SPECTRUM DR
BLDG 3
AUSTIN, TX
ZIP 78717
Phone: (888) 252-6575
Get Directions

MID-ATLANTIC MOBILE LITHOTRIPSY LLC is a lithotripsy clinic center in Austin, TX. MID-ATLANTIC MOBILE LITHOTRIPSY LLC NPI is 1043456262. The provider is registered as an organization entity type.

The provider's business location address is:

9825 SPECTRUM DR
BLDG 3
AUSTIN, TX
ZIP 78717-930
Phone: (888) 252-6575

The provider's authorized official is Theresa Davis .
The authorized official title is Director, Cbo and has the following contact phone number (512) 314-4331.

The enumeration date for this NPI number is 12/17/2008 and was last updated on 12/17/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QL0400XClinic/CenterLithotripsyYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.