PHOENIX ENDOSCOPY LLC NPI 1851516728

NPI Information

NPI: 1851516728
Provider Name: PHOENIX ENDOSCOPY LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D1018953

Address:
349 EAST CORONADO ROAD
PHOENIX, AZ
ZIP 85004
Phone: (602) 266-5678
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PHOENIX ENDOSCOPY LLC is an ambulatory surgical clinic center in Phoenix, AZ. PHOENIX ENDOSCOPY LLC NPI is 1851516728. The provider is registered as an organization entity type.

The provider's business location address is:

349 EAST CORONADO ROAD
PHOENIX, AZ
ZIP 85004-525
Phone: (602) 266-5678
Fax: (602) 264-5646

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 03D1018953 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 9/12/2022.

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	OSC3462	ARIZONA	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			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 State	Other Provider Identifier Issuer
1	AZ0209110	OTHER	ARIZONA	BCBS IDENTIFICATION

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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