| NPI | 1568419323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONITA FLEMING Officer/Authorized Official 202-815-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: TX 000278) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-01-05 |