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MID-MICHIGAN ENDOSCOPY CENTER PLLC NPI 1457640112


NPI Information

NPI: 1457640112
Provider Name: MID-MICHIGAN ENDOSCOPY CENTER, PLLC

Doing Business As: CHARTER ENDOSCOPY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 23D2023576

Address:
1144 CHARTER DR
FLINT, MI
ZIP 48532
Phone: (810) 230-7200
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MID-MICHIGAN ENDOSCOPY CENTER, PLLC is an ambulatory surgical clinic center in Flint, MI. MID-MICHIGAN ENDOSCOPY CENTER, PLLC NPI is 1457640112. The provider is registered as an organization entity type.
The provider Is Doing Business As Charter Endoscopy Center.

The provider's business location address is:

1144 CHARTER DR
FLINT, MI
ZIP 48532-586
Phone: (810) 230-7200
Fax: (810) 230-9200

The provider's authorized official is Balvant K Ganatra .
The authorized official title is President and has the following contact phone number (810) 230-7200.

The CLIA number assigned to this NPI record is 23D2023576 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2011 and was last updated on 2/15/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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