Lake Country Endoscopy Center, Llc in Milwaukee - Ambulatory Surgical
Lake Country Endoscopy Center, Llc - NPI 1184897472
Lake Country Endoscopy Center, Llc is a Ambulatory Surgical in Milwaukee, Wisconsin. Lake Country Endoscopy Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Lake Country Endoscopy Center, Llc is 1184897472. The last update date is 2020-10-25.
Lake Country Endoscopy Center, Llc's current location address is 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, Wisconsin. You can contact this provider via phone number 4149086601 and fax number 4143852980. The mailing address for Lake Country Endoscopy Center, Llc is 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Country Endoscopy Center, Llc |
|---|---|
| Address | 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, Wisconsin |
| Phone Number | 4149086601 |
| Fax Number | 4143852980 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Molloy Michael Robert |
| Credentials | MD |
| Telephone Number | 4144540600 |
NPI Number Detail
| NPI Number | 1184897472 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2020-10-25 |
Provider Mailing Address Detail
| Address | 2801 W Kinnickinnic River Pkwy Ste 1080 |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532153689 |
| Phone Number | 4149086601 |
| Fax Number | 4143852980 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1184897472 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lake Country Endoscopy Center, Llc by the Centers for Medicare & Medicaid Services?
The Lake Country Endoscopy Center, Llc has been assigned the NPI (National Provider Identifier) 1184897472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Lake Country Endoscopy Center, Llc's facilities are situated?
The facilities of Lake Country Endoscopy Center, Llc are physically located at the following address: 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, WI, 532153689.
What is Lake Country Endoscopy Center, Llc's area of expertise and its corresponding taxonomy classification?
The Lake Country Endoscopy Center, Llc's field of specialization is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lake Country Endoscopy Center, Llc receive its 1184897472 assignment from the Centers for Medicare & Medicaid Services?
The Lake Country Endoscopy Center, Llc was assigned its 1184897472 by the Centers for Medicare & Medicaid Services on 2008-04-08.
As of what date were the details related to Lake Country Endoscopy Center, Llc most recently updated or revised?
The information pertaining to Lake Country Endoscopy Center, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-25.