ATLANTIC UROLOGY MEDICAL GROUP INC
NPI 1467649764
Specialist in Long Beach, CA
About Atlantic Urology Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATLANTIC UROLOGY MEDICAL GROUP INC (NPI 1467649764) is a healthcare organization registered as a specialist in Long Beach, California and active in the NPI registry since October 2007. The organization holds a CLIA Microscopy certificate valid through October 20, 2026 and lists Wendy Solis, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other Identifiers 2
Group Practice 1
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
- 05D0554349
- Facility Type
- Physician Office
- Certificate Effective Date
- October 21, 2024
- Certificate Expiration Date
- October 20, 2026
- Laboratory Director
- BARTON H. WACHS MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Atlantic Urology Medical Group Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LONG BEACH, CA 90806
LONG BEACH, CA 90806
LONG BEACH, CA 90806
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467649764, enumerated as an "organization" on October 01, 2007.
The provider is located at 701 E 28TH ST SUITE 319 LONG BEACH, CA 90806 and the phone number is (562) 595-5977.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
