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GREENSBORO NC ENDOSCOPY ASC LLC NPI 1811057029


NPI Information

NPI: 1811057029
Provider Name: GREENSBORO NC ENDOSCOPY ASC LLC

Doing Business As: GUILFORD ENDOSCOPY CENTER

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

Specialization: Ambulatory Surgical

CLIA Number: 34D1079313

Address:
1593 YANCEYVILLE ST
SUITE 100
GREENSBORO, NC
ZIP 27405
Phone: (615) 240-3850
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GREENSBORO NC ENDOSCOPY ASC LLC is an ambulatory surgical clinic center in Greensboro, NC. GREENSBORO NC ENDOSCOPY ASC LLC NPI is 1811057029. The provider is registered as an organization entity type.
The provider Is Doing Business As Guilford Endoscopy Center.

The provider's business location address is:

1593 YANCEYVILLE ST
SUITE 100
GREENSBORO, NC
ZIP 27405-948
Phone: (615) 240-3850
Fax: (615) 234-1850

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 34D1079313 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 6/28/2022.


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 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
13409966MEDICAIDNORTH CAROLINA

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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