Provider Demographics
NPI:1750914552
Name:UROSTAT HEALTHCARE, INC.
Entity type:Organization
Organization Name:UROSTAT HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-541-5566
Mailing Address - Street 1:1132 SATELLITE BLVD NW STE 100
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4441
Mailing Address - Country:US
Mailing Address - Phone:678-541-5566
Mailing Address - Fax:888-303-9123
Practice Address - Street 1:500 OFFICE PARK DR STE 216
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2441
Practice Address - Country:US
Practice Address - Phone:205-401-0434
Practice Address - Fax:888-303-9123
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UROSTAT HEALTHCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies