Active NPI
Rediclinic US, LLC
Doing business as RediClinic
- Clinic/Center
- Austell, GA
National Provider Identifier
1467629253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- REDICLINIC US, LLC
- Doing business as
- RediClinic
- Practice address
- 1133 E E W Connector
Austell, GA 30106-1589 - Phone
- (866) 607-7334
- NPI assigned
- May 12, 2008
- Last updated
- May 12, 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
- (713) 580-0462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
1133 E E W Connector
Austell, GA 30106-1589
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
Other organizations with this tax ID 41
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210550400000",
"number": "1467629253",
"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",
"fax_number": "713-358-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 E E W CONNECTOR",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061589",
"telephone_number": "866-607-7334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDICLINIC US, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REDICLINIC, LLC",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A",
"authorized_official_last_name": "VANPELT",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "713-580-0462",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RediClinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.