Ridge Lake ASC, LLC
Ridge Lake ASC, LLC is an Ambulatory Surgical Clinic/Center in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.
- Licensed in
- TN
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
825 Ridge Lake BlvdMemphis, TN 38120-9411
Phone: (901) 685-2200
Fax: (901) 820-2342
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ophthalmologic Surgery Clinic/Center (primary) | Taxonomy 261QS0132X · Licence 0000000049 (TN) |
|---|---|
| Ambulatory Surgical Clinic/Center | Taxonomy 261QA1903X · Licence 0000000049 (TN) |
Record details
| NPI number | 1790844132 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Subba Gollamudi — Managing Partner · (901) 685-2200 |
| NPI enumerated | December 8, 2006 |
| Last updated in NPPES | July 25, 2022 |
| Certification date | July 25, 2022 |
| Mailing address | 825 Ridge Lake Blvd, Memphis, TN 38120-9411 |
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