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GI DIAGNOSTICS ENDOSCOPY CENTER LLC NPI 1205803699


NPI Information

NPI: 1205803699
Provider Name: GI DIAGNOSTICS ENDOSCOPY CENTER, LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 11D0990765

Address:
2550 WINDY HILL RD SE
STE. 302
MARIETTA, GA
ZIP 30067
Phone: (770) 226-9070
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GI DIAGNOSTICS ENDOSCOPY CENTER, LLC is an endoscopy clinic center in Marietta, GA. GI DIAGNOSTICS ENDOSCOPY CENTER, LLC NPI is 1205803699. The provider is registered as an organization entity type.

The provider's business location address is:

2550 WINDY HILL RD SE
STE. 302
MARIETTA, GA
ZIP 30067-665
Phone: (770) 226-9070
Fax: (770) 951-9016

The provider's authorized official is Tracy L Jones .
The authorized official title is Senior Manager, Business Operations and has the following contact phone number (678) 819-4295.

The CLIA number assigned to this NPI record is 11D0990765 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2006 and was last updated on 1/13/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0800XClinic/CenterEndoscopyNo
2261QE0800XClinic/CenterEndoscopy6800013GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000805384AMEDICAIDGEORGIA
2003119778AMEDICAIDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.