Eastside Associates, Llc in St Clair Shores - Endoscopy
Eastside Associates, Llc - NPI 1407847676
Eastside Associates, Llc is a Endoscopy in St Clair Shores, Michigan. Eastside Associates, Llc practices all healthcare services and medical treatments related to Endoscopy. The NPI Number for Eastside Associates, Llc is 1407847676. The last update date is 2017-02-08.
Eastside Associates, Llc's current location address is 28963 Little Mack Ave, St Clair Shores, Michigan. You can contact this provider via phone number 5864475110 and fax number 5867746091. The mailing address for Eastside Associates, Llc is 28963 Little Mack Ave, St Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastside Associates, Llc |
|---|---|
| Address | 28963 Little Mack Ave, St Clair Shores, Michigan |
| Phone Number | 5864475110 |
| Fax Number | 5867746091 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Veneri Robert |
| Credentials | M.D. |
| Telephone Number | 5864475112 |
NPI Number Detail
| NPI Number | 1407847676 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2017-02-08 |
Provider Mailing Address Detail
| Address | 28963 Little Mack Ave |
|---|---|
| City | St Clair Shores |
| State | Michigan (MI) |
| Post Code | 480813015 |
| Phone Number | 5864475110 |
| Fax Number | 5867746091 |
Provider's Primary Taxonomy Detail
| Speciality | Endoscopy |
|---|---|
| Taxonomy | 261Qe0800X |
| Licence No | 506822 |
|
Definition: Examines internal organs and cavities using an endoscope inserted through small incisions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40358 | MI | BLUE CROSS ID NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Eastside Associates, Llc by the Centers for Medicare & Medicaid Services?
The Eastside Associates, Llc has been assigned the NPI (National Provider Identifier) 1407847676 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Eastside Associates, Llc located?
The Eastside Associates, Llc is located at 28963 Little Mack Ave, St Clair Shores, MI 480813015.
What is Eastside Associates, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eastside Associates, Llc is Endoscopy, and the taxonomy classification code that categorizes this area of expertise is 261Qe0800X.
On what date was the 1407847676 assigned to Eastside Associates, Llc?
The Eastside Associates, Llc was issued its 1407847676 on 2005-11-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Eastside Associates, Llc's details last updated?
The information pertaining to the Eastside Associates, Llc, including its address, specialty, and other details, was most recently updated on 2017-02-08.