NORTHWEST SURGICAL DEVELOPMENT OF FRESNO LLC NPI 1255722336

NPI Information

NPI: 1255722336
Provider Name: NORTHWEST SURGICAL DEVELOPMENT OF FRESNO LLC

Doing Business As: ATHENIX BODY SCULPTING INSTITUTE

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2019729

Address:
7015 N MAPLE AVE
STE 102
FRESNO, CA
ZIP 93720
Phone: (559) 325-7855
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NORTHWEST SURGICAL DEVELOPMENT OF FRESNO LLC is an ambulatory surgical clinic center in Fresno, CA. NORTHWEST SURGICAL DEVELOPMENT OF FRESNO LLC NPI is 1255722336. The provider is registered as an organization entity type.
The provider Is Doing Business As Athenix Body Sculpting Institute.

The provider's business location address is:

7015 N MAPLE AVE
STE 102
FRESNO, CA
ZIP 93720-010
Phone: (559) 325-7855

The provider's authorized official is James Haefner .
The authorized official title is Administration and has the following contact phone number (949) 600-9931.

The CLIA number assigned to this NPI record is 05D2019729 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/11/2015 and was last updated on 2/11/2015.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			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: 4/28/2024

NPI Synchronization or Removal

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