ATLANTIC SC LLC NPI 1295494359

NPI Information

NPI: 1295494359
Provider Name: ATLANTIC SC LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 33D2245377

Address:
1145 MONTAUK HWY
WEST ISLIP, NY
ZIP 11795
Phone: (631) 743-1145
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ATLANTIC SC LLC is an ambulatory surgical clinic center in West Islip, NY. ATLANTIC SC LLC NPI is 1295494359. The provider is registered as an organization entity type.

The provider's business location address is:

1145 MONTAUK HWY
WEST ISLIP, NY
ZIP 11795-909
Phone: (631) 743-1145

The provider's authorized official is Marianne Jorgensen .
The authorized official title is Office Administrator and has the following contact phone number (631) 743-1145.

The CLIA number assigned to this NPI record is 33D2245377 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2021 and was last updated on 12/19/2022.

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	261Q00000X	Clinic/Center				No
2	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

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