Provider Demographics
NPI:1942617477
Name:CENTER FOR ENDOSCOPY LLC
Entity Type:Organization
Organization Name:CENTER FOR ENDOSCOPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOLST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-345-6899
Mailing Address - Street 1:401 COMMERCE ST
Mailing Address - Street 2:STE. 600
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-2446
Mailing Address - Country:US
Mailing Address - Phone:615-345-6879
Mailing Address - Fax:615-691-7512
Practice Address - Street 1:3921 WARING RD
Practice Address - Street 2:STE. B
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4456
Practice Address - Country:US
Practice Address - Phone:760-940-6300
Practice Address - Fax:760-940-8074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical