Provider Demographics
NPI:1619412699
Name:UMS LITHOTRIPSY SERVICES OF SARASOTA, LLC
Entity Type:Organization
Organization Name:UMS LITHOTRIPSY SERVICES OF SARASOTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TALEBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-955-4923
Mailing Address - Street 1:1700 W PARK DR
Mailing Address - Street 2:STE 410
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-3939
Mailing Address - Country:US
Mailing Address - Phone:508-870-6565
Mailing Address - Fax:508-870-0682
Practice Address - Street 1:1 S SCHOOL AVE STE 103
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6047
Practice Address - Country:US
Practice Address - Phone:508-870-6565
Practice Address - Fax:508-870-0682
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED MEDICAL SYSTEMS (DE), INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QL0400XAmbulatory Health Care FacilitiesClinic/CenterLithotripsy