OrganizationActive
Ia LLC
NPI 1194583575 · Clinic/Center · East Greenwich, RI
Provider details
- NPI number
- 1194583575
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Hwasook Lee, Owner
Practice location
1050 Main St Unit 15
East Greenwich, RI 02818-3163
Phone: (401) 363-2445
Fax: (401) 371-4418
Mailing address
1050 Main St Unit 15
East Greenwich, RI 02818-3163
Registry dates
- Enumerated
- 2024-03-11
- Last updated
- 2024-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.