INDIANA ENDOSCOPY CENTERS LLC NPI 1811172729

NPI Information

INDIANA ENDOSCOPY CENTERS LLC is an ambulatory surgical clinic center in Avon, IN. INDIANA ENDOSCOPY CENTERS LLC NPI is 1811172729. The provider is registered as an organization entity type.
The provider Is Doing Business As Indiana Endoscopy Center West.

The provider's business location address is:

1115 RONALD REAGAN PKWY STE 347
AVON, IN
ZIP 46123-914
Phone: (317) 217-2111

The provider's authorized official is Robert Boeglin .
The authorized official title is President and has the following contact phone number (317) 817-1456.

The CLIA number assigned to this NPI record is 15D1095134 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 5/5/2008.

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:

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