Ivy Lane Pediatrics, Llc

LBN: Ivy Lane Pediatrics, Llc
Ivy Lane Pediatrics, Llc is an health care organization with primary practice located at 5974 Fashion Point Dr Ste 230 , South Ogden UT 84403-4805. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Ivy Lane Pediatrics, Llc can be contacted via phone (801) 774-9698, or through Reeve, Wyndam via phone (801) 774-9698.

Contact Information

Primary practice address
5974 Fashion Point Dr Ste 230 South Ogden UT 84403-4805
Phone: (801) 774-9698
Fax: (801) 728-0641
Website:
Map and Directions
Authorized official contact:
Name: Reeve, Wyndam Doctor of Medicine (MD)
Phone: (801) 774-9698

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1083635692
LBN Legal business name Ivy Lane Pediatrics, Llc
DBA Doing business as
Authorized official Reeve, Wyndam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Jan 21st, 2022 - about 4 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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