ENDOSCOPY CENTER OF THE ROCKIES LLC NPI 1558526293

NPI Information

ENDOSCOPY CENTER OF THE ROCKIES LLC is an ambulatory surgical clinic center in Boulder, CO. ENDOSCOPY CENTER OF THE ROCKIES LLC NPI is 1558526293. The provider is registered as an organization entity type.
The provider Other Name Is Endoscopy Center Of The Rockies Boulder.

The provider's business location address is:

1755 48TH ST
SUITE 100
BOULDER, CO
ZIP 80301-711
Phone: (303) 604-5000
Fax: (720) 890-0364

The provider's authorized official is Daus Mahnke .
The authorized official title is Board Member and has the following contact phone number (303) 604-5000.

The CLIA number assigned to this NPI record is 06D1028760 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 3/5/2020.

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:

Other Identifiers

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