Advanced Medical, Llc

LBN: Advanced Medical, Llc
Advanced Medical, Llc is an health care organization with primary practice located at 625 S Pear Orchard Rd Ste A , Ridgeland MS 39157-4836. The organization recently has 9 registered licenses in different health care specialties including Agencies / Home Infusion, Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Multi-Specialty, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Advanced Medical, Llc can be contacted via phone (769) 233-8484, or through Kaniecki, Greg via phone (769) 233-8484.

Contact Information

Primary practice address
625 S Pear Orchard Rd Ste A Ridgeland MS 39157-4836
Phone: (769) 233-8484
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kaniecki, Greg
Phone: (769) 233-8484

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Pharmacy 333600000X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1205900958
LBN Legal business name Advanced Medical, Llc
DBA Doing business as
Authorized official Kaniecki, Greg
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 17th, 2026 - about 3 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205900958 NPPES
Mississippi MEDICAID 07126704

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