NORTHEAST ENDOSCOPY CENTER, LLC – NPI #1578531208
Clinic/Center

NORTHEAST ENDOSCOPY CENTER, LLC is an AHC clinic located in LAWRENCEVILLE, GA. NPPES has assigned the NPI number 1578531208 to NORTHEAST ENDOSCOPY CENTER, LLC on March 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 12 years ago on Aug 07, 2014. 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 NORTHEAST ENDOSCOPY CENTER, LLC below.

NPI Profile for
NORTHEAST ENDOSCOPY CENTER, LLC

NPI Number
1578531208
Enumeration Date

(more than 20 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
NORTHEAST ENDOSCOPY CENTER, LLC
Primary location
721 WELLNESS WAY
STE 110
LAWRENCEVILLE, GA 30046-3304
Phone: (678) 879-0999 Fax: (678) 578-6873
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM TANNER
DIRECTOR
Phone: (678) 879-0999
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)		 GA 067329

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.