WAKE ENDOSCOPY CENTER LLC NPI 1639058662

NPI Information

  • NPI: 1639058662
  • Provider Name: WAKE ENDOSCOPY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 34D2328906
  • Address: 929 KILDAIRE FARM RD STE 105
    CARY, NC
    ZIP 27511
  • Phone: (919) 341-3544

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NPI Details

WAKE ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Cary, NC. WAKE ENDOSCOPY CENTER, LLC NPI is 1639058662. The provider is registered as an organization entity type.

The provider's business location address is:

929 KILDAIRE FARM RD STE 105
CARY, NC
ZIP 27511-922
Phone: (919) 341-3544
Fax: (919) 341-3553

The provider's authorized official is Ashley Renee Hewlin .
The authorized official title is Practice Implementation Manager and has the following contact phone number (919) 341-3623.

The CLIA number assigned to this NPI record is 34D2328906 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2025 and was last updated on 9/2/2025.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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