Advanced Diabetic Solutions LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Lawrenceville, GA
NPI 1750480901 · NPPES record last updated Sep 30, 2015
Key facts
- NPI
- 1750480901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ADVANCED DIABETIC SOLUTIONS LLC
- Practice address
- 1580 Atkinson Rd
Lawrenceville, GA 30043-5600 - Phone
- (770) 339-1190
- Fax
- (770) 339-1192
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Gregory Peter Santulli
- Title
- President
- Phone
- (770) 339-1190
National Provider Directory
Locations
1580 Atkinson Rd
Lawrenceville, GA 30043
Phone (770) 339-1190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist |
222Z00000X | 13 | GA | |
| Mastectomy Fitter |
224900000X | CFM01708 | DE | |
| Pedorthist |
224L00000X | CPED2905 | DE | |
| Pedorthist |
224L00000X | CPED1966 | DE | |
| Orthotic Fitter |
225000000X | C49737 | MD | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1580 Atkinson Rd
Lawrenceville, GA 30043-5600
Mailing address
1580 Atkinson Rd
Lawrenceville, GA 30043-5600
Phone (770) 339-1190
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All providers in Lawrenceville, GA · Durable Medical Equipment & Medical Supplies in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.