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AVVSC LAWRENCEVILLE, LLC
NPI 1427435007
Clinic/Center - Ambulatory Surgical in Lawrenceville, GA

Active since May 02, 2015CLIA 11D2108805 · Waiver
600 PROFESSIONAL DR, SUITE 160B, LAWRENCEVILLE, GA 30046(678) 878-4555(678) 878-4556 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avvsc Lawrenceville, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVVSC LAWRENCEVILLE, LLC (NPI 1427435007) is a healthcare organization registered as an ambulatory surgical in Lawrenceville, Georgia and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists Amish Tilara, President, as its authorized official.

NPPES Registry Identity

NPI1427435007
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAVVSC LAWRENCEVILLE, LLC
Location Address600 PROFESSIONAL DR, SUITE 160BLawrenceville, GA 30046-7651
Mailing Address600 Professional Dr., Suite 160 BLawrenceville, GA 30046-8717
Phone(678) 878-4555
Fax(678) 878-4556
Organization SubpartNo
Authorized OfficialAmish TilaraPresident · (678) 878-4555
Enumeration DateMay 2, 2015
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1427435007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
600 PROFESSIONAL DR, Lawrenceville, GA 30046
Open in Google Maps ↗

Other Identifiers 1

Medicaid11C0001456GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 11D2108805

Avvsc Lawrenceville · Lawrenceville, GA
Active · expires Feb 11, 2028
CLIA Number11D2108805
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorAmish Tilara
Laboratory Phone(678) 878-4555
Laboratory LocationAvvsc Lawrenceville600 Professional Drive Suite 160 B, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YAZAN HOUSSAMI M.D.
Psychiatry & Neurology (Neurology)
600 PROFESSIONAL DR, STE 110
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 995-0555
DR. CORINNE F QUINN M.D.
Internal Medicine (Cardiovascular Disease)
600 PROFESSIONAL DR, 130
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 225-5678
RADIUS SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
600 PROFESSIONAL DR, SUITE 150
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 333-7888
ATLANTA VASCULAR AND VEIN CENTER, LLC
Clinic/Center (Medical Specialty)
600 PROFESSIONAL DR, SUITE 160A
LAWRENCEVILLE, GA 30046
Gwinnett County (973) 632-8372
DR. THERESA A B LAWRENCE-FORD M.D.
Internal Medicine (Rheumatology)
600 PROFESSIONAL DR, SUITE 260
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 822-1090
AVVC MEDICAL, LLC
Clinic/Center (Radiology)
600 PROFESSIONAL DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 878-4555
DR. RAYMOND L STOVALL M.D.
Internal Medicine
600 PROFESSIONAL DR, SUITE 150
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 376-1800
DR. AMISH TILARA M.D.
Radiology (Vascular & Interventional Radiology)
600 PROFESSIONAL DR, SUITE 160A
LAWRENCEVILLE, GA 30046
Gwinnett County (973) 632-8372

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 Avvsc Lawrenceville, LLC's NPI number?

The NPI number for Avvsc Lawrenceville, LLC is 1427435007. It was assigned to this organization in the NPPES registry on May 2, 2015.

Where is Avvsc Lawrenceville, LLC located?

Avvsc Lawrenceville, LLC is located at 600 Professional Dr Suite 160B, Lawrenceville, GA 30046. The listed phone number is (678) 878-4555.

What is Avvsc Lawrenceville, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Avvsc Lawrenceville, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2108805) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avvsc Lawrenceville, LLC was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.