Provider Demographics
NPI:1508049313
Name:LEXMEDICAL, INC.
Entity Type:Organization
Organization Name:LEXMEDICAL, INC.
Other - Org Name:LEXINGTON CENTER FOR GASTROINTESTINAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:G
Authorized Official - Last Name:MINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-243-4653
Mailing Address - Street 1:PO BOX 1537
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27293-1537
Mailing Address - Country:US
Mailing Address - Phone:336-243-4656
Mailing Address - Fax:336-243-4664
Practice Address - Street 1:11 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-6768
Practice Address - Country:US
Practice Address - Phone:336-243-5971
Practice Address - Fax:336-243-5976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC019UYOtherBCBS
NC9566095OtherAETNA
NCK508OtherPARTNERS MDC
NC5908352Medicaid
2319478JMedicare PIN