VIRTUAL URODYNAMICS LLC – NPI #1861782864
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

VIRTUAL URODYNAMICS LLC is an AHC clinic located in POPLAR BLUFF, MO. NPPES has assigned the NPI number 1861782864 to VIRTUAL URODYNAMICS LLC on April 11, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

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 VIRTUAL URODYNAMICS LLC below.

NPI Profile for
VIRTUAL URODYNAMICS LLC

NPI Number
1861782864
Enumeration Date

(more than 15 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
VIRTUAL URODYNAMICS LLC
Primary location
2340 KATY LN
POPLAR BLUFF, MO 63901-2300
Phone: (573) 776-7393 Fax: (573) 776-7396
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CARRIE CARDA
OWNER
Phone: (573) 776-7393
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
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
MO MD111753
208800000X
- Urology
MO MD111753
207V00000X
- Obstetrics & Gynecology
MO MD111753

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.