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INDIANA ENDOSCOPY CENTERS LLC NPI 1609051515


NPI Information

NPI: 1609051515
Provider Name: INDIANA ENDOSCOPY CENTERS LLC

Doing Business As: INDIANA ENDOSCOPY CENTER

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

Specialization: Ambulatory Surgical

Address:
1801 N SENATE BLVD STE 410
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 962-5660
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INDIANA ENDOSCOPY CENTERS LLC is an ambulatory surgical clinic center in Indianapolis, IN. INDIANA ENDOSCOPY CENTERS LLC NPI is 1609051515. The provider is registered as an organization entity type.
The provider Is Doing Business As Indiana Endoscopy Center.

The provider's business location address is:

1801 N SENATE BLVD STE 410
INDIANAPOLIS, IN
ZIP 46202-245
Phone: (317) 962-5660

The provider's authorized official is Robert Boeglin .
The authorized official title is President and has the following contact phone number (317) 817-1456.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 1/3/2011.


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

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZJ9030MEDICARE OSCAR/CERTIFICATION
2200893990BMEDICAIDINDIANA

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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