institution
Fort Wayne Endoscopy Center Llc
Endoscopy Clinic/Center in Fort Wayne, Indiana
NPI 1548267024

Fort Wayne Endoscopy Center Llc is a Endoscopy Clinic/Center based in Fort Wayne, IN and is specialized in Endoscopy. Fort Wayne Endoscopy Center Llc practices in Fort Wayne, IN. The NPI Number for Fort Wayne Endoscopy Center Llc is 1548267024 and holds a License No. 010098 (Indiana).

The current practice location address for Fort Wayne Endoscopy Center Llc is 3415 Hobson Rd, Fort Wayne, IN and can be reached out via phone at 260-482-8001 and via fax at 260-471-7444. You can also correspond with Fort Wayne Endoscopy Center Llc through the mailing address at 3415 HOBSON RD, FORT WAYNE, IN - 46805-1617 (mailing address contact number: 260-266-9076).

Location: 3415 Hobson Rd, Fort Wayne, IN, 46805-1617
institution
Provider Profile Details
NPI Number
1548267024
Provider Name
Fort Wayne Endoscopy Center Llc
Credential
Provider Entity Type
Organization
Address
3415 Hobson Rd, Fort Wayne, IN, 46805-1617
Phone Number
260-482-8001
Fax Number
260-471-7444
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010098 01 IN STATE LICENSE
000000285559 01 ANTHEM BCBS
15D1009484 01 CLIA CERTIFICATE
200431310A 05 IN
institution
Provider Business Practice Location Address Details
Address
3415 Hobson Rd
City
State
Zip
46805-1617
Phone Number
260-482-8001
Fax Number
260-471-7444
person
Provider Business Mailing Address Details
Address
3415 Hobson Rd
City
State
Zip
46805-1617
Phone Number
260-266-9076
Fax Number
260-266-9071
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Endoscopy
Taxonomy
License No.
010098 (Indiana)
Definition
Definition to come...
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