ELMS ENDOSCOPY CENTER LLC NPI 1083695860

NPI Information

NPI: 1083695860
Provider Name: ELMS ENDOSCOPY CENTER LLC

Doing Business As: ELMS ENDOSCOPY CENTER

Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 42D1012002

Address:
2671 ELMS PLANTATION BLVD
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 797-6800
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ELMS ENDOSCOPY CENTER LLC is an endoscopy clinic center in North Charleston, SC. ELMS ENDOSCOPY CENTER LLC NPI is 1083695860. The provider is registered as an organization entity type.
The provider Is Doing Business As Elms Endoscopy Center.

The provider's business location address is:

2671 ELMS PLANTATION BLVD
NORTH CHARLESTON, SC
ZIP 29406-165
Phone: (843) 797-6800
Fax: (843) 797-6825

The provider's authorized official is Phillip Clendenin .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 42D1012002 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 12/2/2014.

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

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	Q341370001	MEDICARE PIN	SOUTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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