Bloomington Endoscopy Center, Llc

LBN: Bloomington Endoscopy Center, Llc
Bloomington Endoscopy Center, Llc is an health care organization with primary practice located at 550 S Landmark Ave , Bloomington IN 47403-3239. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Bloomington Endoscopy Center, Llc can be contacted via phone (812) 331-3650, or through Craig, Michael via phone (812) 353-9554.

Contact Information

Primary practice address
550 S Landmark Ave Bloomington IN 47403-3239
Phone: (812) 331-3650
Fax: (812) 355-6925
Website:
Map and Directions
Authorized official contact:
Name: Craig, Michael
Phone: (812) 353-9554

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 05-002674-1 Indiana

Profile Details

NPI number 1689679508
LBN Legal business name Bloomington Endoscopy Center, Llc
DBA Doing business as
Authorized official Craig, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2005
Last updated Dec 7th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689679508 NPPES
Indiana MEDICAID 200319120

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