Provider Demographics
NPI:1811939689
Name:DANVILLE SURGICAL CENTER, INC.
Entity type:Organization
Organization Name:DANVILLE SURGICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:LAHTI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:434-792-7874
Mailing Address - Street 1:201 S MAIN ST
Mailing Address - Street 2:SUITE 3300
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-2927
Mailing Address - Country:US
Mailing Address - Phone:434-792-7874
Mailing Address - Fax:434-792-3585
Practice Address - Street 1:201 S MAIN ST
Practice Address - Street 2:SUITE 3300
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-2927
Practice Address - Country:US
Practice Address - Phone:434-792-7874
Practice Address - Fax:434-792-3585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty