SPATIUM URGENT CARE LLC NPI 1508453044

NPI Information

NPI: 1508453044
Provider Name: SPATIUM URGENT CARE LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 11D2215004

Address:
3595 CANTON RD STE 316
MARIETTA, GA
ZIP 30066
Phone: (678) 932-2121
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SPATIUM URGENT CARE LLC is an urgent care clinic center in Marietta, GA. SPATIUM URGENT CARE LLC NPI is 1508453044. The provider is registered as an organization entity type.

The provider's business location address is:

3595 CANTON RD STE 316
MARIETTA, GA
ZIP 30066-693
Phone: (678) 932-2121

The provider's authorized official is Aghogho Omene-iroro .
The authorized official title is President and has the following contact phone number (443) 803-3372.

The CLIA number assigned to this NPI record is 11D2215004 - other - urgent care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2020 and was last updated on 10/18/2023.

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	261QU0200X	Clinic/Center	Urgent Care			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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