MID-ATLANTIC MOBILE LITHOTRIPSY LLC (NPI# 1043456262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043456262 |
| Entity Type | Organization |
| Organization Name | MID-ATLANTIC MOBILE LITHOTRIPSY LLC |
| Practice Address |
9825 Spectrum Dr Bldg 3 Austin TX 78717-4930 |
| Mailing Address |
Po Box 847324 Dallas TX 75284-7324 |
| Practice Telephone | 8882526575 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |
| Authorized Official Name | THERESA DAVIS (DIRECTOR, CBO) |
| Authorized Official Telephone | 5123144331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
Ambulatory Health Care Facilities |
| Street Address |
9825 SPECTRUM DR BLDG 3 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78717-4930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184878027 | Gulf South Lithotripsy, LLC | Clinic/Center | 9825 Spectrum Dr, Bldg 3, Austin, TX 78717-4930 | 2008-11-05 |
| 1760768394 | Louisville Lithotripsy LLC | Clinic/Center | 9825 Spectrum Dr, Bldg 3, Austin, TX 78717-4913 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766290 | Eva Charo | Registered Nurse | 2036 Bel Paese Bend, Leander, TX 78717 | 2020-10-06 |
| 1568940591 | Hannah Joy Winger | Registered Nurse | 15510 Ranch Road 620 North. Apt 2104, Austin, TX 78717 | 2018-08-01 |
| 1811406192 | Msh Diamondback Health Services LLC | Nurse Practitioner | 16219 Ranch Road 620, Austin, TX 78717 | 2017-09-29 |
| 1790204378 | May Paraan Harris | Nurse Practitioner | 162919 Ranch Road 620 N., Austin, TX 78717 | 2017-09-14 |
| 1386168706 | Zachary David Lewitz | Pharmacist | 14028 North Us 183, Austin, TX 78717 | 2017-07-27 |
| 1538608724 | Britex Walden Pllc | Clinic/Center | 9800 North Lake Creek Parkway, Suite # 150, Austin, TX 78717 | 2017-02-21 |
| 1639574338 | Sam's East, Inc. | Technician/Technologist | 10901 Lakeline Mall Dr., Austin, TX 78717 | 2014-10-24 |
| 1023453677 | Nw Dentistry and Orthodontics, PC | Dentist | 14028 North Us Highway 183, Suite 430, Austin, TX 78717 | 2013-05-08 |
| 1831430677 | Brian Fagan | Pharmacist | 14028 Highway 183, Austin, TX 78717 | 2013-03-04 |
| 1891036703 | Paul Jeffrey Marchioni | Pharmacist | 14028 North Us Hwy. 183, Austin, TX 78717 | 2013-03-04 |
| Find all providers in zip 78717 | ||||
| Taxonomy Code | 261QL0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Lithotripsy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184878027 | Gulf South Lithotripsy, LLC | Clinic/Center | 9825 Spectrum Dr, Bldg 3, Austin, TX 78717-4930 | 2008-11-05 |
| 1417038571 | Greater Atlanta Lithotripsy, LLC | Clinic/Center | 1301 Capital of Texas, Suite B200, Austin, TX 78746-6574 | 2006-10-17 |
| 1447349360 | Sun Medical Technologies, Inc. | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2006-10-11 |
| 1760768394 | Louisville Lithotripsy LLC | Clinic/Center | 9825 Spectrum Dr, Bldg 3, Austin, TX 78717-4913 | 2011-10-27 |
| 1144480419 | Blue Ridge Urology Services LLC | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2008-06-11 |
| 1437319704 | San Diego Urology Services LLC | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2008-06-11 |
| 1902066483 | Gold Coast Urology Services LLC | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2008-06-10 |
| 1609083252 | Si Lithotripsy LLC | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2007-05-16 |
| 1396960050 | Rocky Mountain Laser, L.p. | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2007-04-16 |
| 1609959832 | Sun Medical Technologies, Inc | Clinic/Center | 1301 Capital of Texas Highway, Suite B200, Austin, TX 78746-6574 | 2006-10-23 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.