MID-COLUMBIA ENDOSCOPY CENTER LLC NPI 1184926834

NPI Information

NPI: 1184926834
Provider Name: MID-COLUMBIA ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 50D2059100

Address:
8819 W VICTORIA AVE
KENNEWICK, WA
ZIP 99336
Phone: (509) 460-5500
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MID-COLUMBIA ENDOSCOPY CENTER, LLC is an endoscopy clinic center in Kennewick, WA. MID-COLUMBIA ENDOSCOPY CENTER, LLC NPI is 1184926834. The provider is registered as an organization entity type.

The provider's business location address is:

8819 W VICTORIA AVE
KENNEWICK, WA
ZIP 99336-193
Phone: (509) 460-5500

The provider's authorized official is Somprak Boonpongmanee .
The authorized official title is Owner and has the following contact phone number (509) 460-5500.

The CLIA number assigned to this NPI record is 50D2059100 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2010 and was last updated on 12/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0800X	Clinic/Center	Endoscopy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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