BAYSIDE ENDOSCOPY CENTER LLC NPI 1720085657

NPI Information

BAYSIDE ENDOSCOPY CENTER, LLC is an endoscopy clinic center in Providence, RI. BAYSIDE ENDOSCOPY CENTER, LLC NPI is 1720085657. The provider is registered as an organization entity type.
The provider Is Doing Business As Bayside Endoscopy Center.

The provider's business location address is:

33 STANIFORD ST
PROVIDENCE, RI
ZIP 02905-105
Phone: (401) 274-1810
Fax: (401) 273-9689

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The CLIA number assigned to this NPI record is 41D0907255 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 2/8/2023.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.