ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC – NPI #1861501835
Clinic/Center

ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC is an AHC clinic located in BROCKTON, MA. NPPES has assigned the NPI number 1861501835 to ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC on August 30, 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 13 years ago on Mar 05, 2013. 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 ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC below.

NPI Profile for
ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC

NPI Number
1861501835
Enumeration Date

(about 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
ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC
Primary location
1 PEARL ST
ST 1200
BROCKTON, MA 02301-2864
Phone: (508) 588-3174 Fax: (508) 588-3179
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARCIA ISSA
OFFICE MANAGER
Phone: (508) 588-3174
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)		 MA 63138

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.