MIDATLANTIC ENDOSCOPY LLC NPI 1124559679

NPI Information

  • NPI: 1124559679
  • Provider Name: MIDATLANTIC ENDOSCOPY LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: MID-ATLANTIC GASTROINTESTINAL CENTER III
  • CLIA Number: 39D2127551
  • Address: 2112 HARRISBURG PIKE
    SUITE 323
    LANCASTER, PA
    ZIP 17601
  • Phone: (717) 544-3569

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NPI Details

MIDATLANTIC ENDOSCOPY LLC is an ambulatory surgical clinic center in Lancaster, PA. MIDATLANTIC ENDOSCOPY LLC NPI is 1124559679. The provider is registered as an organization entity type.
The provider Is Doing Business As Mid-atlantic Gastrointestinal Center Iii.

The provider's business location address is:

2112 HARRISBURG PIKE
SUITE 323
LANCASTER, PA
ZIP 17601-644
Phone: (717) 544-3569

The provider's authorized official is Phillip A. Clendenin .
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 39D2127551 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2017 and was last updated on 9/15/2017.

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 Surgical17211501PENNSYLVANIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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