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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1135 116TH AVE NE SUITE 570 BELLEVUE, WA 98004 US
Tel: 425-451-7335 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
7067366 | WA | 05 | |
DEA LICENSE | BG4377227 | 01 | |
CLIA NUMBER | 50D0923026 | WA | 01 |
AAAHC ACCREDITATION | 15949 | 01 | |
REGENCE BS | EA0308 | WA | 01 |
STATE LICENSE | MTS-3102 | WA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin