Eastside Endoscopy Center

LBN: Eastside Associates, Llc
Eastside Endoscopy Center is an health care organization with primary practice located at 28963 Little Mack Ave Suite 103, St Clair Shores MI 48081-3015. The organization recently has only one registered license in Ambulatory Health Care Facilities / Endoscopy, which is considered as the primary health care specialty. Eastside Associates, Llc can be contacted via phone (586) 447-5110, or through Veneri, Robert via phone (586) 447-5112.

Contact Information

Primary practice address
28963 Little Mack Ave Suite 103 St Clair Shores MI 48081-3015
Phone: (586) 447-5110
Fax: (586) 774-6091
Website:
Map and Directions
Authorized official contact:
Name: Veneri, Robert Doctor of Medicine (MD)
Phone: (586) 447-5112

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Endoscopy 261QE0800X 506822 Michigan

Profile Details

NPI number 1407847676
LBN Legal business name Eastside Associates, Llc
DBA Doing business as Eastside Endoscopy Center
Authorized official Veneri, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2005
Last updated Feb 8th, 2017 - 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 1407847676 NPPES
Michigan Other 40358 BLUE CROSS ID NUMBER

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