Provider Demographics
NPI:1225832298
Name:NEXAR LLC
Entity type:Organization
Organization Name:NEXAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOON
Authorized Official - Middle Name:P
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-296-1881
Mailing Address - Street 1:6340 SUGARLOAF PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-4329
Mailing Address - Country:US
Mailing Address - Phone:404-566-4538
Mailing Address - Fax:
Practice Address - Street 1:6340 SUGARLOAF PKWY STE 200
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-4329
Practice Address - Country:US
Practice Address - Phone:404-566-4538
Practice Address - Fax:470-592-3057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare