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SOUTHWEST ENDOSCOPY LTD NPI 1871538694


NPI Information

NPI: 1871538694
Provider Name: SOUTHWEST ENDOSCOPY LTD
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 32D2124470

Address:
7788 JEFFERSON ST NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 999-1600
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SOUTHWEST ENDOSCOPY LTD is an ambulatory surgical clinic center in Albuquerque, NM. SOUTHWEST ENDOSCOPY LTD NPI is 1871538694. The provider is registered as an organization entity type.

The provider's business location address is:

7788 JEFFERSON ST NE
ALBUQUERQUE, NM
ZIP 87109-342
Phone: (505) 999-1600
Fax: (505) 999-1650

The provider's authorized official is Patricia Lorane Carrasco .
The authorized official title is Administrator and has the following contact phone number (505) 999-1610.

The CLIA number assigned to this NPI record is 32D2124470 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 12/13/2010.


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 Surgical6712NEW MEXICOYes

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
168469MEDICAIDNEW MEXICO
26712OTHERNEW MEXICOOPERATORS STATE LICENSE
3100521002MEDICARE PINNEW MEXICO

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

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.