ENDOSCOPY CENTER OF KNOXVILLE LP NPI 1508845942

NPI Information

ENDOSCOPY CENTER OF KNOXVILLE LP is an ambulatory surgical clinic center in Knoxville, TN. ENDOSCOPY CENTER OF KNOXVILLE LP NPI is 1508845942. The provider is registered as an organization entity type.
The provider Is Doing Business As The Endoscopy Center West.

The provider's business location address is:

11440 PARKSIDE DR
SUITE 100
KNOXVILLE, TN
ZIP 37934-973
Phone: (865) 588-5121
Fax: (865) 675-0501

The provider's authorized official is Phillip Clendenin .
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 44D1039379 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 12/2/2014.

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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