Provider Demographics
NPI:1962210708
Name:ASC TENNESSEE LLC.
Entity type:Organization
Organization Name:ASC TENNESSEE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EL
Authorized Official - Middle Name:
Authorized Official - Last Name:ERIC LISKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-952-8635
Mailing Address - Street 1:2400 POPLAR AVE STE 245
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-3213
Mailing Address - Country:US
Mailing Address - Phone:901-422-6400
Mailing Address - Fax:
Practice Address - Street 1:2400 POPLAR AVE STE 245
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-3213
Practice Address - Country:US
Practice Address - Phone:901-422-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care