Provider Demographics
NPI:1760035158
Name:LEIGH ORTHOPEDIC SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:LEIGH ORTHOPEDIC SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:INMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-261-8617
Mailing Address - Street 1:830 KEMPSVILLE ROAD
Mailing Address - Street 2:ADMINISTRATIVE SUITE
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3920
Mailing Address - Country:US
Mailing Address - Phone:757-261-8617
Mailing Address - Fax:757-995-7023
Practice Address - Street 1:830 KEMPSVILLE ROAD
Practice Address - Street 2:ADMINISTRATIVE SUITE
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3920
Practice Address - Country:US
Practice Address - Phone:757-261-8617
Practice Address - Fax:757-995-7023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical