GASTROENTEROLOGY ASSOCIATES LLC NPI 1548241623

NPI Information

NPI: 1548241623
Provider Name: GASTROENTEROLOGY ASSOCIATES, LLC

Doing Business As: GASTROENTEROLOGY ASSOCIATES ENDOSCOPY CENTER

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

Specialization: Ambulatory Surgical

Address:
209 LILLY ROAD NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 413-8250
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GASTROENTEROLOGY ASSOCIATES, LLC is an ambulatory surgical clinic center in Olympia, WA. GASTROENTEROLOGY ASSOCIATES, LLC NPI is 1548241623. The provider is registered as an organization entity type.
The provider Is Doing Business As Gastroenterology Associates Endoscopy Center.

The provider's business location address is:

209 LILLY ROAD NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 413-8250
Fax: (360) 413-8830

The provider's authorized official is Jonathan Bailey .
The authorized official title is Officer/authorized Official and has the following contact phone number (203) 609-1168.

The CLIA number assigned to this NPI record is 50D1052134 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2005 and was last updated on 3/17/2023.

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	261QA1903X	Clinic/Center	Ambulatory Surgical		WASHINGTON	Yes

What is NPI?

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This page was last updated on: 4/28/2024

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