Urologic Surgical Care LLC
Non-Pharmacy Dispensing Site in Lawrence, NY. Organization (NPI-2).
NPI number1245076124
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1245076124
- Entity type
- Organization (NPI-2)
- Legal business name
- Urologic Surgical Care LLC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2024
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Practice location
290 Central Ave Ste 207Lawrence, NY 11559-8507
Phone 516-239-8585
Mailing address
290 Central Ave Ste 207Lawrence, NY 11559-8507
Phone 516-239-8585
Authorized official
Jason Grotas
Owner
5162398585
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