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Contact Information

MAIN LINE PA ENDOSCOPY ASC, LP
1991 SPROUL RD STE 240
BROOMALL, PA19008-3518
 Phone: 610-229-9373
 Fax: 610-660-0875
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endoscopy

261QE0800X
Indicates primary specialty

NPI Profile & details for MAIN LINE PA ENDOSCOPY ASC, LP

NPI Number 1225268915
LBN Legal business name MAIN LINE PA ENDOSCOPY ASC, LP
Authorized official JEFFREY SNODGRASS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2009
Last updated 09/12/2024 - More than a year ago
Identifiers
PA License # 16001501
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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