SOUTH MEADOWS ENDOSCOPY CENTER LLC NPI 1851444079

NPI Information

SOUTH MEADOWS ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Reno, NV. SOUTH MEADOWS ENDOSCOPY CENTER, LLC NPI is 1851444079. The provider is registered as an organization entity type.

The provider's business location address is:

10619 PROFESSIONAL CIR
RENO, NV
ZIP 89521-831
Phone: (775) 852-4848
Fax: (775) 850-5763

The provider's authorized official is Timothy Halterman .
The authorized official title is Medical Director and has the following contact phone number (775) 329-4600.

The CLIA number assigned to this NPI record is 29D1067560 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 9/1/2022.

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:

Other Identifiers

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