THE EASTSIDE ENDOSCOPY CENTER LLC NPI 1679858849

NPI Information

  • NPI: 1679858849
  • Provider Name: THE EASTSIDE ENDOSCOPY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1301 4TH AVE NW
    STE 301
    ISSAQUAH, WA
    ZIP 98027
  • Phone: (425) 454-4768

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NPI Details

THE EASTSIDE ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Issaquah, WA. THE EASTSIDE ENDOSCOPY CENTER, LLC NPI is 1679858849. The provider is registered as an organization entity type.

The provider's business location address is:

1301 4TH AVE NW
STE 301
ISSAQUAH, WA
ZIP 98027-369
Phone: (425) 454-4768

The provider's authorized official is Nicholas Goralsky .
The authorized official title is Coo and has the following contact phone number (253) 272-8177.

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 large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)

The enumeration date for this NPI number is 10/19/2011 and was last updated on 8/14/2019.

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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