Healthcare Provider Details

I. General information

NPI: 1750680815
Provider Name (Legal Business Name): LTAC INVESTORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2011
Last Update Date: 03/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SCHOOL ST
WINTERSVILLE OH
43953-9610
US

IV. Provider business mailing address

200 SCHOOL ST
WINTERSVILLE OH
43953-9610
US

V. Phone/Fax

Practice location:
  • Phone: 740-346-2600
  • Fax:
Mailing address:
  • Phone: 740-346-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AMAR N KHURANA
Title or Position: PRESIDENT
Credential: MD
Phone: 740-346-2600