PUEBLO ENDOSCOPY SUITES LLC NPI 1437175627

NPI Information

NPI: 1437175627
Provider Name: PUEBLO ENDOSCOPY SUITES, LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 06D1027647

Address:
1600 N GRAND AVE
SUITE 420
PUEBLO, CO
ZIP 81003
Phone: (719) 546-2500
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PUEBLO ENDOSCOPY SUITES, LLC is an endoscopy clinic center in Pueblo, CO. PUEBLO ENDOSCOPY SUITES, LLC NPI is 1437175627. The provider is registered as an organization entity type.

The provider's business location address is:

1600 N GRAND AVE
SUITE 420
PUEBLO, CO
ZIP 81003-700
Phone: (719) 546-2500
Fax: (719) 546-2335

The provider's authorized official is Atul Vahil .
The authorized official title is Owner/president and has the following contact phone number (719) 543-3500.

The CLIA number assigned to this NPI record is 06D1027647 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 8/22/2020.

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	0754	COLORADO	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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