Southern Urology Associates

LBN: Southern Urology Associates Llc
Southern Urology Associates is an health care organization with primary practice located at 15190 Community Rd Suite 260, Gulfport MS 39503-3485. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Southern Urology Associates Llc can be contacted via phone (228) 539-0071, or through Lageese, Robert J. via phone (504) 988-7044.

Contact Information

Primary practice address
15190 Community Rd Suite 260 Gulfport MS 39503-3485
Fax: (228) 539-0722
Website:
Authorized official contact:
Name: Lageese, Robert J.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1619919917
LBN Legal business name Southern Urology Associates Llc
DBA Doing business as Southern Urology Associates
Authorized official Lageese, Robert J.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 21st, 2018 - about 8 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 1619919917 NPPES
Mississippi MEDICAID 1275576

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