AFFILIATED ENDOSCOPY CENTERS, LLC; NPI #1518995513

Contact Information

AFFILIATED ENDOSCOPY CENTERS, LLC

3588 ARCADE ST # 100
VADNAIS HEIGHTS, MN 55127-7135

Phone: 612-871-1145
Fax: 612-870-5491
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 AFFILIATED ENDOSCOPY CENTERS, LLC

NPI # 1518995513

LBN Legal business name AFFILIATED ENDOSCOPY CENTERS, LLC

Authorized official SCOTT KETOVER - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/29/2006

Last updated 10/05/2023 - About 3 years ago

Identifiers

License #

4433340

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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