MIDDLESEX ENDOSCOPY CENTER LLC NPI 1972522985

NPI Information

  • NPI: 1972522985
  • Provider Name: MIDDLESEX ENDOSCOPY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 07D1036410
  • Address: 410 SAYBROOK RD
    SUITE 200
    MIDDLETOWN, CT
    ZIP 06457
  • Phone: (860) 343-1240

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NPI Details

MIDDLESEX ENDOSCOPY CENTER LLC is an ambulatory surgical clinic center in Middletown, CT. MIDDLESEX ENDOSCOPY CENTER LLC NPI is 1972522985. The provider is registered as an organization entity type.

The provider's business location address is:

410 SAYBROOK RD
SUITE 200
MIDDLETOWN, CT
ZIP 06457-777
Phone: (860) 343-1240
Fax: (860) 343-1250

The provider's authorized official is Kris Mineau .
The authorized official title is Administrator and has the following contact phone number (860) 665-0174.

The CLIA number assigned to this NPI record is 07D1036410 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)

The enumeration date for this NPI number is 7/19/2006 and was last updated on 8/17/2007.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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