Ridge Lake Asc, Llc is an Ambulatory Surgical Center Center (ASC) in Memphis, Tennessee. It is situated at 825 Ridge Lake Blvd, Memphis and its contact number is 901-685-2200. The authorized person of Ridge Lake Asc, Llc is Subba R Gollamudi
who is Managing Partner of the center and their contact number is 901-685-2200. Primary license number for Ridge Lake Asc, Llc is 0000000049 (Eye Surgery Center) in Tennessee.
Ridge Lake Asc, Llc is an outpatient surgical facility where patients receive same-day surgical care safely and efficiently, without hospital admission.
Complete Center Profile:
Ridge Lake Asc, Llc Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
| Specialization: | Ambulatory Surgical Center (ASC) |
| Center Address: | 825 Ridge Lake Blvd, Memphis,
Tennessee, 38120-9411 |
| Phone: | 901-685-2200 |
| Fax: | 901-820-2342 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this center are as below. Person's position and contact details are also mentioned below.
| Name: | Subba R Gollamudi |
| Position: | Managing Partner |
| Contact Number: | 901-685-2200 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ridge Lake Asc, Llc Center are as mentioned below.
| NPI Number: | 1790844132 |
| NPI Enumeration Date: | 08 Dec, 2006 |
| NPI Last Update On: | 25 Jul, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ridge Lake Asc, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Ophthalmologic Surgery | 0000000049 | Tennessee | Primary | |
| Ambulatory Surgical | 0000000049 | Tennessee | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the center such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| Q016777 | Medicaid | Tennessee | |
| 00074013 | Medicaid | Mississippi | |
| 190552128 | Medicaid | Arkansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ridge Lake Asc, Llc
825 Ridge Lake Blvd,
Memphis, Tennessee |
| Zip: | 38120-9411 |
| Phone Number: | 901-685-2200 |
| Fax Number: | 901-820-2342 |
Patients can reach Ridge Lake Asc, Llc at
825 Ridge Lake Blvd, Memphis, Tennessee or can
call to book an appointment on 901-685-2200.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.