EAST COBB PODIATRY SURGERY CENTER, LLC
NPI 1184819930
Clinic/Center - Ambulatory Surgical in Marietta, GA
About East Cobb Podiatry Surgery Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST COBB PODIATRY SURGERY CENTER, LLC (NPI 1184819930) is a healthcare organization registered as an ambulatory surgical in Marietta, Georgia and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Mark R Light, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D1037912
East Cobb Podiatry Surgery Center · Marietta, GAOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30062
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is East Cobb Podiatry Surgery Center, LLC's NPI number?
The NPI number for East Cobb Podiatry Surgery Center, LLC is 1184819930. It was assigned to this organization in the NPPES registry on September 13, 2007.
Where is East Cobb Podiatry Surgery Center, LLC located?
East Cobb Podiatry Surgery Center, LLC is located at 4439 Roswell Rd, Marietta, GA 30062. The listed phone number is (770) 977-8221.
What is East Cobb Podiatry Surgery Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does East Cobb Podiatry Surgery Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D1037912) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for East Cobb Podiatry Surgery Center, LLC was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
