METROEAST ENDOSCOPY CENTRE NPI 1356650915

NPI Information

NPI: 1356650915
Provider Name: METROEAST ENDOSCOPY CENTRE
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D2014038

Address:
5023 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL
ZIP 62208
Phone: (618) 239-0678
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METROEAST ENDOSCOPY CENTRE is an ambulatory surgical clinic center in Fairview Heights, IL. METROEAST ENDOSCOPY CENTRE NPI is 1356650915. The provider is registered as an organization entity type.

The provider's business location address is:

5023 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL
ZIP 62208-453
Phone: (618) 239-0678
Fax: (800) 516-2392

The provider's authorized official is Shakel Ahmed .
The authorized official title is President and has the following contact phone number (618) 239-0678.

The CLIA number assigned to this NPI record is 14D2014038 - other - endoscopy center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2010 and was last updated on 9/30/2010.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	036107831	ILLINOIS	Yes

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: 5/5/2024

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