LAKESHORE SURGICAL CENTER – NPI #1457425159
Clinic/Center

LAKESHORE SURGICAL CENTER is an AHC clinic located in GAINESVILLE, GA. NPPES has assigned the NPI number 1457425159 to LAKESHORE SURGICAL CENTER on November 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKESHORE SURGICAL CENTER” is a dba name, the actual legal business name for this organization is LAKESHORE TUBAL REVERSAL CENTER. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 17 years ago on Mar 10, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESHORE SURGICAL CENTER below.

NPI Profile for
LAKESHORE TUBAL REVERSAL CENTER

NPI Number
1457425159
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESHORE TUBAL REVERSAL CENTER
Doing Business As (dba): LAKESHORE SURGICAL CENTER
Primary location
2320 LIMESTONE PARKWAY
GAINESVILLE, GA 30501
Phone: (877) 588-5594 Fax: (770) 531-0053
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CECILIA BATES
OFFICE MANAGER
Phone: (770) 531-1181
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 GA DEA AG5691452

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.