Provider Demographics
NPI:1871519314
Name:NORTHERN LITHO INC
Entity type:Organization
Organization Name:NORTHERN LITHO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CONLEY
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:239-260-3137
Mailing Address - Street 1:9010 STRADA STELL CT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-4424
Mailing Address - Country:US
Mailing Address - Phone:800-669-7744
Mailing Address - Fax:855-335-4846
Practice Address - Street 1:9010 STRADA STELL COURT
Practice Address - Street 2:SUITE 103
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109
Practice Address - Country:US
Practice Address - Phone:800-669-7744
Practice Address - Fax:855-335-4846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical