ENDOSCOPY CENTER OF LODI; NPI #1881839959

Contact Information

ENDOSCOPY CENTER OF LODI

840 S FAIRMONT AVE
SUITE 1
LODI, CA 95240-5105

Phone: 209-371-8700
Fax: 209-369-1262
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for ENDOSCOPY CENTER OF LODI

NPI Number 1881839959

LBN Legal business name ENDOSCOPY CENTER OF LODI

Authorized official ROBIN KUEHNE - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/03/2008

Last updated 02/16/2018 - About 8 years ago

Identifiers

Other

BQ951A

MEDICARE PTAN

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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