GRAND RIVER ENDOSCOPY CENTER L.L.C. NPI 1043288467

NPI Information

  • NPI: 1043288467
  • Provider Name: GRAND RIVER ENDOSCOPY CENTER, L.L.C.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 23D1047028
  • Address: 310 LAFAYETTE AVE SE
    SUITE 200
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 752-5890

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NPI Details

GRAND RIVER ENDOSCOPY CENTER, L.L.C. is an ambulatory surgical clinic center in Grand Rapids, MI. GRAND RIVER ENDOSCOPY CENTER, L.L.C. NPI is 1043288467. The provider is registered as an organization entity type.

The provider's business location address is:

310 LAFAYETTE AVE SE
SUITE 200
GRAND RAPIDS, MI
ZIP 49503-693
Phone: (616) 752-5890

The provider's authorized official is Holly Sund .
The authorized official title is Access Asc Billing Team Lead and has the following contact phone number (616) 685-7174.

The CLIA number assigned to this NPI record is 23D1047028 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Dilation of esophagus (HCPCS:43450)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)

The enumeration date for this NPI number is 3/10/2006 and was last updated on 10/25/2024.

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 SurgicalYes
2261QE0800XClinic/CenterEndoscopyNo

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: 11/21/2025

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