Organization
LIFEBRIDGE INVESTMENTS, INC
Active
Parent organization
LIFEBRIDGE INVESTMENTS, INC
Other names
LifeBridge Community Practices, LLC d/b/a Clinical Associates ASC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEBRIDGE INVESTMENTS, INC
Authorized official
G MICHAEL FOSTER (CEO)
(410) 296-5300
Entity
Organization
Contact information
Practice address
515 FAIRMOUNT AVE, STE 100A, TOWSON, MD 21286-5466
(410) 494-1315
(410) 494-1361
Mailing address
515 FAIRMOUNT AVE, CREDENTIALING OFFICE, TOWSON, MD 21286
(410) 494-1324
(410) 494-1361
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
A
MD
261QE0800X
Endoscopy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417384800
—
MD
Enumeration date
09/28/2007
Last updated
08/14/2012
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