Provider Demographics
NPI:1629581244
Name:UROSTAT HEALTHCARE, INC.
Entity Type:Organization
Organization Name:UROSTAT HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:S
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-845-8698
Mailing Address - Street 1:1132 SATELLITE BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4441
Mailing Address - Country:US
Mailing Address - Phone:888-845-8698
Mailing Address - Fax:888-303-9123
Practice Address - Street 1:1132 SATELLITE BLVD
Practice Address - Street 2:STE 100
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4441
Practice Address - Country:US
Practice Address - Phone:888-845-8698
Practice Address - Fax:888-303-9123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-06
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA20253428833332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies