14D2162518 CLIA NUMBER - ENDOSCOPY CENTER OF THE NORTH SHORE, LLC

Laboratory Demographics

CLIA Number: 14D2162518

Facility Name: ENDOSCOPY CENTER OF THE NORTH SHORE, LLC

Facility Address:
1732 CENTRAL ST
EVANSTON, IL
ZIP 60201
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Facility Phone Number: 847 256-1855

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1013487388

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	14D2162518
LAB Type	Physician Office
Facility Name	ENDOSCOPY CENTER OF THE NORTH SHORE, LLC
Street	1732 CENTRAL ST
City	EVANSTON
State	IL
ZIP	60201
Phone	847 256-1855
CertificateType	2
CertificateEffectiveDate	6/14/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024