RENO ENDOSCOPY CENTER LLC NPI 1083602411

NPI Information

NPI: 1083602411
Provider Name: RENO ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 29D0954145

Address:
880 RYLAND STREET
RENO, NV
ZIP 89502
Phone: (775) 329-4600
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RENO ENDOSCOPY CENTER, LLC is an endoscopy clinic center in Reno, NV. RENO ENDOSCOPY CENTER, LLC NPI is 1083602411. The provider is registered as an organization entity type.

The provider's business location address is:

880 RYLAND STREET
RENO, NV
ZIP 89502-603
Phone: (775) 329-4600
Fax: (775) 334-3911

The provider's authorized official is Eric Osgard .
The authorized official title is Director and has the following contact phone number (775) 329-4600.

The CLIA number assigned to this NPI record is 29D0954145 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 9/1/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0800X	Clinic/Center	Endoscopy	24558	NEVADA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4616302	MEDICAID	NEVADA

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: 4/28/2024

NPI Synchronization or Removal

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