AEGIS TREATMENT CENTERS, LLC
NPI 1083224141
Clinic/Center - Methadone in Tracy, CA
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 05D2229687
- CLIA Cert. Type: Other - NARCOTIC TREATMENT PROG
- CLIA Exp. Date: 07-14-2027
About AEGIS TREATMENT CENTERS, LLC
This page provides the complete NPI Profile along with additional information for Aegis Treatment Centers, Llc, a provider established in Tracy, California operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1083224141 assigned on August 2020. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Denise Winant (Credentialing Supervisor)
- NPI
- 1083224141 Verify this NPI
- Provider Name
- AEGIS TREATMENT CENTERS, LLC
- Entity Type
- Organization
- Location Address
- 1450 BESSIE AVE STE B TRACY, CA 95376
- Location Phone
- (800) 821-0775
- Location Fax
- (818) 206-0379
- Mailing Address
- 1317 ROUTE 73 STE 200 MOUNT LAUREL, NJ 08054
- Mailing Phone
- (856) 439-6111
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-04-2020
- Last Update Date
- 09-17-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2229687
- Facility Type
- Other - NARCOTIC TREATMENT PROG
- Certificate Effective Date
- July 15, 2025
- Certificate Expiration Date
- July 14, 2027
- Laboratory Director
- GEORGE I. GIRGIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Aegis Treatment Centers, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for AEGIS TREATMENT CENTERS, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083224141, enumerated as an "organization" on August 04, 2020.
The provider is located at 1450 BESSIE AVE STE B TRACY, CA 95376 and the phone number is (800) 821-0775.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
