QUAD CITY ENDOSCOPY L.L.C. NPI 1245218411

NPI Information

QUAD CITY ENDOSCOPY, L.L.C. is an ambulatory surgical clinic center in Moline, IL. QUAD CITY ENDOSCOPY, L.L.C. NPI is 1245218411. The provider is registered as an organization entity type.

The provider's business location address is:

4340 7TH STREET
MOLINE, IL
ZIP 61265-867
Phone: (309) 277-5624
Fax: (309) 277-9201

The provider's authorized official is Sreenivas Chintalapani .
The authorized official title is Administrator Medical Director and has the following contact phone number (309) 277-5624.

The CLIA number assigned to this NPI record is 14D1091584 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 8/30/2011.

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:

Other Identifiers

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

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