CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY CENTER LLC NPI 1073682159

NPI Information

CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Leominster, MA. CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY CENTER LLC NPI is 1073682159. The provider is registered as an organization entity type.

The provider's business location address is:

105 ERDMAN WAY
LEOMINSTER, MA
ZIP 01453-805
Phone: (978) 840-6767
Fax: (978) 840-6766

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 22D1020892 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 9/13/2022.

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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