ASC GI DIAGNOSTIC CENTER, LLC; NPI #1174551758

Contact Information

ASC GI DIAGNOSTIC CENTER, LLC

2084 NE PROFESSIONAL CT
BEND, OR 97701-6077

Phone: 541-322-5753
Fax: 541-749-2130
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ASC GI DIAGNOSTIC CENTER, LLC

NPI Number 1174551758

LBN Legal business name ASC GI DIAGNOSTIC CENTER, LLC

Authorized official STEPHEN ARCHER - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/30/2006

Last updated 05/24/2011 - About 15 years ago

Identifiers

OR	License #	071580
OR	Medicaid	006075

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ASC GI DIAGNOSTIC CENTER, LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for ASC GI DIAGNOSTIC CENTER, LLC

Reviews for ASC GI DIAGNOSTIC CENTER, LLC