Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X | |||
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1821141441 |
||||
| LBN Legal business name | INLAND ENDOSCOPY CENTER, INC | ||||
| Authorized official | MARY LAMOUREUX - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/18/2007 | ||||
| Last updated | 03/26/2015 - About 11 years ago | ||||
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INLAND ENDOSCOPY CENTER, INC
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