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THE EASTSIDE ENDOSCOPY CENTER LLC

Surgery Yellow Pages

Bellevue, Washington

Provider NPI: 1992702443

Organization Information:
Organization Name:  THE EASTSIDE ENDOSCOPY CENTER LLC


Practice Location:
1135 116TH AVE NE SUITE 570 BELLEVUE, WA 98004 US
Tel: 425-451-7335  Fax: --

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


Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
7067366WA05
DEA LICENSEBG437722701
CLIA NUMBER50D0923026WA01
AAAHC ACCREDITATION1594901
REGENCE BSEA0308WA01
STATE LICENSEMTS-3102WA01
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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