Provider Demographics
NPI:1649067729
Name:AUTOTELIC PROPERTIES LLC
Entity type:Organization
Organization Name:AUTOTELIC PROPERTIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-270-6045
Mailing Address - Street 1:938 EISENHOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3319
Mailing Address - Country:US
Mailing Address - Phone:814-270-6045
Mailing Address - Fax:
Practice Address - Street 1:938 EISENHOWER BLVD
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3319
Practice Address - Country:US
Practice Address - Phone:814-270-6045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery