ENDOSCOPY CENTER OF LAKE COUNTY LLC NPI 1386696458

NPI Information

NPI: 1386696458
Provider Name: ENDOSCOPY CENTER OF LAKE COUNTY, LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 36D1053660

Address:
9614 OLD JOHNNYCAKE RIDGE RD
MENTOR, OH
ZIP 44060
Phone: (440) 205-1225
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ENDOSCOPY CENTER OF LAKE COUNTY, LLC is an endoscopy clinic center in Mentor, OH. ENDOSCOPY CENTER OF LAKE COUNTY, LLC NPI is 1386696458. The provider is registered as an organization entity type.

The provider's business location address is:

9614 OLD JOHNNYCAKE RIDGE RD
MENTOR, OH
ZIP 44060-521
Phone: (440) 205-1225
Fax: (440) 205-1278

The provider's authorized official is Christopher Hartshorn .
The authorized official title is Officer/authorized Official and has the following contact phone number (314) 800-2017.

The CLIA number assigned to this NPI record is 36D1053660 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 1/4/2024.

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	261QE0800X	Clinic/Center	Endoscopy			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: 4/28/2024

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