PONTCHARTRAIN LITHOTRIPSY, LLC

TALLAHASSEE, FL
NPI1871771972
Entity TypeOrganization
Authorized ContactLACEY DINH
Revenue Cycle Manager Of Abs
520-258-0326
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2008-01-31
Last Update Date2015-12-21
Business Address
PONTCHARTRAIN LITHOTRIPSY, LLC
800 OCALA RD #300-346
TALLAHASSEE, FL 32304-1669
Phone number: 520-323-8732
Mailing Address
PONTCHARTRAIN LITHOTRIPSY, LLC
6339 E SPEEDWAY BLVD SUITE 201
TUCSON, AZ 85710-1147
Phone number: 520-323-8732