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PREMIER ENDOSCOPY CENTER LLC NPI 1659683662


NPI Information

NPI: 1659683662
Provider Name: PREMIER ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2563 S VAL VISTA DR STE 101A
GILBERT, AZ
ZIP 85295
Phone: (480) 573-0213
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PREMIER ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Gilbert, AZ. PREMIER ENDOSCOPY CENTER, LLC NPI is 1659683662. The provider is registered as an organization entity type.

The provider's business location address is:

2563 S VAL VISTA DR STE 101A
GILBERT, AZ
ZIP 85295-231
Phone: (480) 573-0213
Fax: (480) 573-0214

The provider's authorized official is Jarrett Leathem .
The authorized official title is Do, Owner and has the following contact phone number (480) 573-0130.

The enumeration date for this NPI number is 7/7/2010 and was last updated on 6/28/2022.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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