GASTROINTESTINAL DIAGNOSTIC CLINIC – NPI #1811085459
Clinic/Center

GASTROINTESTINAL DIAGNOSTIC CLINIC is an AHC clinic located in LAS VEGAS, NV. NPPES has assigned the NPI number 1811085459 to GASTROINTESTINAL DIAGNOSTIC CLINIC on October 10, 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 19 years ago on Oct 18, 2007. 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 GASTROINTESTINAL DIAGNOSTIC CLINIC below.

NPI Profile for
GASTROINTESTINAL DIAGNOSTIC CLINIC

NPI Number
1811085459
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
GASTROINTESTINAL DIAGNOSTIC CLINIC
Primary location
3196 S MARYLAND PKWY
SUITE 207
LAS VEGAS, NV 89109-2305
Phone: (702) 369-3400 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACK LONDON
SENIOR CONSULTANT
Phone: (702) 737-7555
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)		 NV 477ASC-8

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.