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LOUISVILLE ENDOSCOPY CENTER, PLLC

Surgery Yellow Pages

Louisville, Kentucky

Provider NPI: 1003888595

Organization Information:
Organization Name:  LOUISVILLE ENDOSCOPY CENTER, PLLC


Practice Location:
1400 POPLAR LEVEL RD SUITE 2 LOUISVILLE, KY 40217 US
Tel: 502-636-2003  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
KY300132

Other Provider Identifiers:

IssuerNumberStateType
PASSPORT ADVANTAGE2437243000KY01
36001055KY05
2437243000KY05
200411570AIN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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