DIAGNOSTIC ENDOSCOPY LLC NPI 1689669418

NPI Information

NPI: 1689669418
Provider Name: DIAGNOSTIC ENDOSCOPY LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 07D0989155

Address:
778 LONG RIDGE RD
STAMFORD, CT
ZIP 06902
Phone: (203) 322-2400
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DIAGNOSTIC ENDOSCOPY LLC is an ambulatory surgical clinic center in Stamford, CT. DIAGNOSTIC ENDOSCOPY LLC NPI is 1689669418. The provider is registered as an organization entity type.

The provider's business location address is:

778 LONG RIDGE RD
STAMFORD, CT
ZIP 06902-227
Phone: (203) 322-2400
Fax: (203) 329-8855

The provider's authorized official is Jeffrey Snodgrass .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 07D0989155 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2005 and was last updated on 8/9/2022.

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	0301	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	A2535749	OTHER	OXFORD ID #
2	07A	OTHER	BLUE CROSS/BLUE SHIELD ID
3	7189280	OTHER	AETNA ID #
4	IV8574	OTHER	HEALTHNET ID #
5	747394	OTHER	CONNECTICARE ID #

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

NPI Synchronization or Removal

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