Pediatric Surgical Associates Ltd

LBN: Pediatric Surgical Associates Ltd
Pediatric Surgical Associates Ltd is an health care organization with primary practice located at 2530 Chicago Ave Suite 550, Minneapolis MN 55404-4289. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as the primary health care specialty. Pediatric Surgical Associates Ltd can be contacted via phone (612) 813-8000, or through Louiselle, Paul via phone (612) 813-8006.

Contact Information

Primary practice address
2530 Chicago Ave Suite 550 Minneapolis MN 55404-4289
Phone: (612) 813-8000
Fax: (612) 813-8005
Website:
Map and Directions
Authorized official contact:
Name: Louiselle, Paul
Phone: (612) 813-8006

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X

Profile Details

NPI number 1093778292
LBN Legal business name Pediatric Surgical Associates Ltd
DBA Doing business as
Authorized official Louiselle, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated Jun 9th, 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 1093778292 NPPES
Minnesota MEDICAID 360710100

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