Northlake Endoscopy Center

LBN: Northlake Endoscopy Center
Northlake Endoscopy Center is an health care organization with primary practice located at 1459 Montreal Rd Su 204, Tucker GA 30084-6900. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Northlake Endoscopy Center can be contacted via phone (770) 939-4721, or through Beton, Ralph Robert via phone (770) 939-4721.

Contact Information

Primary practice address
1459 Montreal Rd Su 204 Tucker GA 30084-6900
Phone: (770) 939-4721
Fax: (770) 939-1187
Website:
Map and Directions
Authorized official contact:
Name: Beton, Ralph Robert Doctor of Medicine (MD)
Phone: (770) 939-4721

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 044047 Georgia

Profile Details

NPI number 1871594499
LBN Legal business name Northlake Endoscopy Center
DBA Doing business as
Authorized official Beton, Ralph Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2005
Last updated May 8th, 2008 - about 18 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 1871594499 NPPES
Georgia MEDICAID 000468652A

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