ENDOSCOPY CENTER OF NORTHERN OHIO LLC NPI 1760491385

NPI Information

NPI: 1760491385
Provider Name: ENDOSCOPY CENTER OF NORTHERN OHIO, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D0994252

Address:
1299 INDUSTRIAL PARKWAY NORTH
SUITE 120
BRUNSWICK, OH
ZIP 44212
Phone: (330) 225-6468
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ENDOSCOPY CENTER OF NORTHERN OHIO, LLC is an ambulatory surgical clinic center in Brunswick, OH. ENDOSCOPY CENTER OF NORTHERN OHIO, LLC NPI is 1760491385. The provider is registered as an organization entity type.

The provider's business location address is:

1299 INDUSTRIAL PARKWAY NORTH
SUITE 120
BRUNSWICK, OH
ZIP 44212-316
Phone: (330) 225-6468
Fax: (330) 225-6534

The provider's authorized official is Christopher Hartshorn .
The authorized official title is Officer/authorized Official and has the following contact phone number (314) 800-2017.

The CLIA number assigned to this NPI record is 36D0994252 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 1/4/2024.

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	0659AS	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2307408	MEDICAID	OHIO

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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