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AFFINITY HEALTH GROUP LLC NPI 1609366053


NPI Information

NPI: 1609366053
Provider Name: AFFINITY HEALTH GROUP LLC

Doing Business As: AFFINITY UROLOGY CLINIC2

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 19D2147751

Address:
2516 BROADMOOR BLVD STE 3C1
MONROE, LA
ZIP 71201
Phone: (318) 807-4743
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AFFINITY HEALTH GROUP LLC is an urology in Monroe, LA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. AFFINITY HEALTH GROUP LLC NPI is 1609366053. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Affinity Urology Clinic2.

The provider's business location address is:

2516 BROADMOOR BLVD STE 3C1
MONROE, LA
ZIP 71201-988
Phone: (318) 807-4743
Fax: (318) 361-2180

The provider's authorized official is Janet L Justice .
The authorized official title is Director Of Operations and has the following contact phone number (318) 998-3426.

The CLIA number assigned to this NPI record is 19D2147751 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/11/2018 and was last updated on 7/21/2021.


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
1208800000XUrologyYes
2261QM1300XClinic/CenterMulti-SpecialtyNo

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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