Home » Tennessee » 37090 » Lebanon Endoscopy Center Llc

Lebanon Endoscopy Center Llc

Lebanon Endoscopy Center Llc is a health care provider in Lebanon, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 100 Physicians Way, Suite 340, Lebanon, TN 37090-8103, US
Practice Location Phone615-446-9532
Practice Location Fax615-466-9536
Legal Business NameLEBANON ENDOSCOPY CENTER LLC
Other Organization NameLEBANON ENDOSCOPY CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1326142878
Entity TypeOrganization
Enumeration Date ? Sep 12, 2006
Last Update Date ? Feb 12, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Lebanon Endoscopy Center Llc

SpecialtySpecializationLicenseLicense State
Clinic/CenterAmbulatory Surgical
Clinic/CenterEndoscopy PENDINGTennessee

legacy-id-icon Legacy Provider IDs of Lebanon Endoscopy Center Llc

Provider IdIssuer StateIssuer TypeIssuer
1518492TennesseeMedicaid
P00649646TennesseeOtherRAILROAD MEDICARE

official-icon Authorized Official of Lebanon Endoscopy Center Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lebanon Endoscopy Center Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Katherine L Reed
Authorized Official Title/PositionOFFICER/AUTHORIZED OFFICIAL
Authorized Official Phone Number972-763-3859