Active NPI
Rediclinic US, LLC
Doing business as RediClinic
- Clinic/Center
- Snellville, GA
National Provider Identifier
1053584748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- REDICLINIC US, LLC
- Doing business as
- RediClinic
- Practice address
- 1550 Scenic Hwy N
Snellville, GA 30078-2130 - Phone
- (866) 607-7334
- NPI assigned
- Apr 2, 2008
- Organization subpart
- Yes
- Parent organization
- REDICLINIC, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rick Vanpelt
- Title
- Coo
- Phone
- (866) 607-7334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1550 Scenic Hwy N
Snellville, GA 30078-2130
Mailing address
9 Greenway PLZ
Suite 2950
Houston, TX 77046-0905
Phone (866) 607-7334
Other names 1
- RediClinic
National Provider Directory
National Provider Directory- Tax ID family
- Rediclinic
- Part of
- Rediclinic LLC
Other organizations with this tax ID 41
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1550 Scenic Hwy N
Snellville, GA 30078
Phone (770) 979-1911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207094400000",
"number": "1053584748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GREENWAY PLZ",
"address_2": "SUITE 2950",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770460905",
"telephone_number": "866-607-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 SCENIC HWY N",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782130",
"telephone_number": "866-607-7334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDICLINIC US, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REDICLINIC, LLC",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A",
"authorized_official_last_name": "VANPELT",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "866-607-7334",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RediClinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.