Advanced Tissue

LBN: Advanced Tissue, Llc
Advanced Tissue is an health care organization with primary practice located at 7003 Valley Ranch Dr , Little Rock AR 72223-4696. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Advanced Tissue, Llc can be contacted via phone (501) 217-9900, or through Lamb, Douglas Kevin via phone (501) 217-9900.

Contact Information

Primary practice address
7003 Valley Ranch Dr Little Rock AR 72223-4696
Fax: (501) 217-9939
Website:
Authorized official contact:
Name: Lamb, Douglas Kevin

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1962515783
LBN Legal business name Advanced Tissue, Llc
DBA Doing business as Advanced Tissue
Authorized official Lamb, Douglas Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 16th, 2006
Last updated Oct 2nd, 2015 - about 11 years 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 1962515783 NPPES
Alabama MEDICAID 009966110
Alabama MEDICAID 1000037816
Alabama MEDICAID 0440992
Alabama MEDICAID 733982
Alabama MEDICAID 806569500
Alabama MEDICAID MS151AR
Alabama MEDICAID 143955716
Alabama MEDICAID 401946600
Alabama MEDICAID 200446340A
Alabama MEDICAID 984669700
Alabama MEDICAID 431825000
Alabama MEDICAID 90003740
Alabama MEDICAID 34637036
Alabama MEDICAID 0031177
Alabama MEDICAID 0563775
Alabama MEDICAID 1153184
Alabama MEDICAID 874487746
Alabama MEDICAID 000979536A

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