OUTPATIENT ENDOSCOPY & SURGI CENTER – NPI #1053439117
Clinic/Center

OUTPATIENT ENDOSCOPY & SURGI CENTER is an AHC clinic located in SAINT CLAIR SHORES, MI. NPPES has assigned the NPI number 1053439117 to OUTPATIENT ENDOSCOPY & SURGI CENTER on March 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OUTPATIENT ENDOSCOPY & SURGI CENTER below.

NPI Profile for
OUTPATIENT ENDOSCOPY & SURGI CENTER

NPI Number
1053439117
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OUTPATIENT ENDOSCOPY & SURGI CENTER
Primary location
28300 HARPER AVE
SAINT CLAIR SHORES, MI 48081-1686
Phone: (586) 778-6090 Fax: (586) 778-1943
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HARIVALLABH PANDYA
PRESIDENT
Phone: (586) 778-6090
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 MI 506821
261QE0800X
- Clinic/Center / Endoscopy		 MI 506821

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.