Healther Providers Data Logo


Provider Type Icon

GDC ENDOSCOPY CENTER LLC NPI 1811052749


NPI Information

NPI: 1811052749
Provider Name: GDC ENDOSCOPY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D1049968

Address:
2887 DARLINGTON RUN
DULUTH, GA
ZIP 30097
Phone: (678) 377-8252
Get Directions

GDC ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Duluth, GA. GDC ENDOSCOPY CENTER LLC NPI is 1811052749. The provider is registered as an organization entity type.

The provider's business location address is:

2887 DARLINGTON RUN
DULUTH, GA
ZIP 30097-315
Phone: (678) 377-8252
Fax: (770) 963-0122

The provider's authorized official is Bhuvanendram Indrakrishnan .
The authorized official title is Manager/member and has the following contact phone number (678) 377-8252.

The CLIA number assigned to this NPI record is 11D1049968 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 3/5/2024.


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
1261QA1903XClinic/CenterAmbulatory Surgical11C0001280GEORGIAYes

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
1839960927AMEDICAIDGEORGIA
21598847618OTHERGEORGIANPI

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
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »