BERKELEY ENDOSCOPY CENTER LLC NPI 1841395621

NPI Information

BERKELEY ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Columbia, SC. BERKELEY ENDOSCOPY CENTER LLC NPI is 1841395621. The provider is registered as an organization entity type.

The provider's business location address is:

1072 WILDWOOD CENTRE DR
COLUMBIA, SC
ZIP 29229-420
Phone: (803) 788-1120
Fax: (803) 788-4522

The provider's authorized official is Siva K Chockalingam .
The authorized official title is President and has the following contact phone number (803) 788-1120.

The CLIA number assigned to this NPI record is 42D1059777 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 10/22/2012.

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

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