ENDOSCOPY CENTER OF LAS CRUCES; NPI #1700839628

Contact Information

ENDOSCOPY CENTER OF LAS CRUCES

2407 S TELSHOR BLVD
LAS CRUCES, NM 88011-5049

Phone: 505-522-7697
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for ENDOSCOPY CENTER OF LAS CRUCES

NPI Number 1700839628

LBN Legal business name ENDOSCOPY CENTER OF LAS CRUCES

Authorized official PRASAD PODILA - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/19/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

6793

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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