TULSA OK ENDOSCOPY ASC LLC NPI 1417916800

NPI Information

TULSA OK ENDOSCOPY ASC LLC is an ambulatory surgical clinic center in Tulsa, OK. TULSA OK ENDOSCOPY ASC LLC NPI is 1417916800. The provider is registered as an organization entity type.
The provider Is Doing Business As Tulsa Endoscopy Center.

The provider's business location address is:

4200 E SKELLY DR
SUITE 100
TULSA, OK
ZIP 74135-247
Phone: (918) 728-6010
Fax: (918) 728-6017

The provider's authorized official is Jeffrey E Snodgrass .
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 37D1016153 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 11/23/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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