Lake Murray Endoscopy Center

LBN: Columbia Asc Northwest Llc
Lake Murray Endoscopy Center is an health care organization with primary practice located at 190 Parkridge Dr Suite 100, Columbia SC 29212-1747. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Columbia Asc Northwest Llc can be contacted via phone (803) 407-6767, or through Clendenin, Phillip via phone (615) 665-1283.

Contact Information

Primary practice address
190 Parkridge Dr Suite 100 Columbia SC 29212-1747
Fax: (803) 407-6757
Website:
Authorized official contact:
Name: Clendenin, Phillip

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X ASF-076 South Carolina

Profile Details

NPI number 1063486504
LBN Legal business name Columbia Asc Northwest Llc
DBA Doing business as Lake Murray Endoscopy Center
Authorized official Clendenin, Phillip
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2006
Last updated Sep 7th, 2023 - about last year

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 1063486504 NPPES
South Carolina MEDICAID ASC048

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