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UROLOGY SURGERY CENTERLLC NPI 1093749376


NPI Information

NPI: 1093749376
Provider Name: UROLOGY SURGERY CENTER,LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
139 SUMMERPLACE DR
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 796-9968
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UROLOGY SURGERY CENTER,LLC is an ambulatory surgical clinic center in West Columbia, SC. UROLOGY SURGERY CENTER,LLC NPI is 1093749376. The provider is registered as an organization entity type.

The provider's business location address is:

139 SUMMERPLACE DR
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 796-9968
Fax: (803) 791-0376

The provider's authorized official is David H Lamb .
The authorized official title is Director and has the following contact phone number (803) 796-9968.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 3/28/2013.


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
1261QA1903XClinic/CenterAmbulatory Surgical261QA1903XSOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ASC022MEDICAIDSOUTH CAROLINA
2Q322290001MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA
3Q322290001MEDICARE PINSOUTH CAROLINA

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

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