Langtree Endoscopy Center, LLC
Clinic/Center, Ambulatory Surgical in Mooresville, NC. Organization (NPI-2).
NPI number1982178042
StatusActive
Last updated in NPPESMay 19, 2025
Details
- NPI
- 1982178042
- Entity type
- Organization (NPI-2)
- Legal business name
- Langtree Endoscopy Center, LLC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2019
- Certification date
- Aug 14, 2024
- Last updated
- May 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - AMBULATORY SURGICAL CENTER
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
106 Alexander Bank DriveSuite 101
Mooresville, NC 28117
Phone 704-660-2651 · Fax 704-663-6521
Mailing address
106 Alexander Bank Dr Ste 101Mooresville, NC 28117-9624
Phone 704-660-2651 · Fax 704-663-6521
Authorized official
Scott J. Moroney
President
7043559320
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