CENTRAL WEST END ENDOSCOPY LLC NPI 1114380052

NPI Information

  • NPI: 1114380052
  • Provider Name: CENTRAL WEST END ENDOSCOPY LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 26D2122738
  • Address: 4510 DELMAR BLVD STE B
    ST. LOUIS, MO
    ZIP 63108
  • Phone: (314) 334-4499

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NPI Details

CENTRAL WEST END ENDOSCOPY LLC is an ambulatory surgical clinic center in St. Louis, MO. CENTRAL WEST END ENDOSCOPY LLC NPI is 1114380052. The provider is registered as an organization entity type.

The provider's business location address is:

4510 DELMAR BLVD STE B
ST. LOUIS, MO
ZIP 63108-702
Phone: (314) 334-4499
Fax: (314) 696-0073

The provider's authorized official is David Russell Horace .
The authorized official title is Consultant and has the following contact phone number (618) 235-2299.

The CLIA number assigned to this NPI record is 26D2122738 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2016 and was last updated on 2/23/2025.

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

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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