COLONNADE ENDOSCOPY CENTER LLC NPI 1184605792

NPI Information

  • NPI: 1184605792
  • Provider Name: COLONNADE ENDOSCOPY CENTER LLC
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • Address: 555 DR MICHAEL DEBAKEY DR STE 102
    LAKE CHARLES, LA
    ZIP 70601
  • Phone: (337) 439-6226

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NPI Details

COLONNADE ENDOSCOPY CENTER LLC is an endoscopy clinic center in Lake Charles, LA. COLONNADE ENDOSCOPY CENTER LLC NPI is 1184605792. The provider is registered as an organization entity type.

The provider's business location address is:

555 DR MICHAEL DEBAKEY DR STE 102
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 439-6226
Fax: (337) 436-8862

The provider's authorized official is Sabra Brown Moore .
The authorized official title is Administrator and has the following contact phone number (337) 439-6226.

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.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)

The enumeration date for this NPI number is 11/10/2005 and was last updated on 6/28/2018.

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
1261QE0800XClinic/CenterEndoscopy099LOUISIANAYes

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
11366536MEDICAIDLOUISIANA

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: 3/30/2025

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