Endocenter, LLC
Clinic/Center, Endoscopy in Covington, LA. Organization (NPI-2).
NPI number1447324132
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1447324132
- Entity type
- Organization (NPI-2)
- Legal business name
- Endocenter, LLC
- Organization subpart
- No
- Enumeration date
- Nov 17, 2006
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0800X | Clinic/Center, Endoscopy | 88 | LA | Yes |
| 261QE0800X | Clinic/Center, Endoscopy | 120 | LA |
Practice location
131-A Cherokee Rose LaneCovington, LA 70433-7195
Phone 985-809-8068 · Fax 985-809-7172
Mailing address
Po Box 848816Boston, MA 02284-8816
Phone 985-809-8068 · Fax 985-893-6908
Authorized official
Hazel Brauen
Business Manager
9858711721
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