SHORELINE ENDOSCOPY CENTER LLC NPI 1073621579

NPI Details

SHORELINE ENDOSCOPY CENTER, LLC is a clinic center in Guilford, CT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SHORELINE ENDOSCOPY CENTER, LLC NPI is 1073621579. The provider is registered as an organization entity type.

The provider's business location address is:

800 BOSTON POST RD BLDG 1
GUILFORD, CT
ZIP 06437-770
Phone: (203) 453-7100
Fax: (203) 453-7810

The provider's authorized official is Kimberly Claing .
The authorized official title is Exec Director, Corp Bus Services and has the following contact phone number (203) 688-2046.

The CLIA number assigned to this NPI record is 07D1025982 - 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.

• 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)
• Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
• 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)
• Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
• Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
• Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
• Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
• Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
• Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)

The enumeration date for this NPI number is 8/26/2006 and was last updated on 1/19/2024.

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:

Other Identifiers

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