PREMIER ENDOSCOPY ASC LLC NPI 1689100299

NPI Information

NPI: 1689100299
Provider Name: PREMIER ENDOSCOPY ASC, LLC

Doing Business As: PREMIER ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D2013854

Address:
2563 S VAL VISTA DR
SUITE 101
GILBERT, AZ
ZIP 85295
Phone: (480) 786-6655
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PREMIER ENDOSCOPY ASC, LLC is an ambulatory surgical clinic center in Gilbert, AZ. PREMIER ENDOSCOPY ASC, LLC NPI is 1689100299. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Endoscopy Center.

The provider's business location address is:

2563 S VAL VISTA DR
SUITE 101
GILBERT, AZ
ZIP 85295-804
Phone: (480) 786-6655

The provider's authorized official is Jenetha Moran .
The authorized official title is Authorized Official and has the following contact phone number (972) 763-3893.

The CLIA number assigned to this NPI record is 03D2013854 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2017 and was last updated on 5/3/2017.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			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

NPI Synchronization or Removal

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