The Eastside Endoscopy Center Llc

LBN: The Eastside Endoscopy Center Llc
The Eastside Endoscopy Center Llc is an health care organization with primary practice located at 1135 116Th Ave Ne Suite 570, Bellevue WA 98004-4623. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. The Eastside Endoscopy Center Llc can be contacted via phone (425) 451-7335, or through Goralsky, Nicolas via phone (253) 383-8342.

Contact Information

Primary practice address
1135 116Th Ave Ne Suite 570 Bellevue WA 98004-4623
Fax: (425) 451-1226
Website:
Authorized official contact:
Name: Goralsky, Nicolas

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1992702443
LBN Legal business name The Eastside Endoscopy Center Llc
DBA Doing business as
Authorized official Goralsky, Nicolas
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Mar 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 1992702443 NPPES
Other 15949 AAAHC ACCREDITATION
Other 50D0923026 AAAHC ACCREDITATION
Other EA0308 AAAHC ACCREDITATION
Other MTS-3102 AAAHC ACCREDITATION
MEDICAID 7067366 AAAHC ACCREDITATION

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