WOODBRIDGE CENTER LLC NPI 1508978990

NPI Information

  • NPI: 1508978990
  • Provider Name: WOODBRIDGE CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: ENDOSCOPY AND SURGERY CENTER AT WOODBRIDGE HILLS
  • CLIA Number: 23D1046581
  • Address: 7901 ANGLING RD
    PORTAGE, MI
    ZIP 49024
  • Phone: (269) 324-8406

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NPI Details

WOODBRIDGE CENTER LLC is an ambulatory surgical clinic center in Portage, MI. WOODBRIDGE CENTER LLC NPI is 1508978990. The provider is registered as an organization entity type.
The provider Is Doing Business As Endoscopy And Surgery Center At Woodbridge Hills.

The provider's business location address is:

7901 ANGLING RD
PORTAGE, MI
ZIP 49024-714
Phone: (269) 324-8406

The provider's authorized official is Brij Dewan .
The authorized official title is President and has the following contact phone number (269) 385-9900.

The CLIA number assigned to this NPI record is 23D1046581 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/18/2012.

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
1261QE0800XClinic/CenterEndoscopyNo
2261QA1903XClinic/CenterAmbulatory Surgical396814MICHIGANYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10P24200MEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

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