Shoreline Endoscopy Center, Llc in New Haven - Clinic/center
Shoreline Endoscopy Center, Llc - NPI 1073621579
Shoreline Endoscopy Center, Llc is a Clinic/center in New Haven, Connecticut. Shoreline Endoscopy Center, Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Shoreline Endoscopy Center, Llc is 1073621579. The last update date is 2020-08-12.
Shoreline Endoscopy Center, Llc's current location address is 100 Church St S # Mcs-2, New Haven, Connecticut. You can contact this provider via phone number 2036888543 and fax number 2036886005. The mailing address for Shoreline Endoscopy Center, Llc is 100 Church St S # Mcs-2, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shoreline Endoscopy Center, Llc |
|---|---|
| Address | 100 Church St S # Mcs-2, New Haven, Connecticut |
| Phone Number | 2036888543 |
| Fax Number | 2036886005 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR. REIMBU |
|---|---|
| Authorized Official Name | Messina Gerette Mary |
| Telephone Number | 2036888543 |
NPI Number Detail
| NPI Number | 1073621579 |
|---|---|
| Provider Enumeration Date | 2006-08-26 |
| Last Updated Date | 2020-08-12 |
Provider Mailing Address Detail
| Address | 100 Church St S # Mcs-2 |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65191703 |
| Phone Number | 2036888543 |
| Fax Number | 2036886005 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 281 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4247856 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shoreline Endoscopy Center, Llc by the Centers for Medicare & Medicaid Services?
The Shoreline Endoscopy Center, Llc has been assigned the NPI (National Provider Identifier) 1073621579 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Shoreline Endoscopy Center, Llc?
The Shoreline Endoscopy Center, Llc is situated at 100 Church St S # Mcs-2, in the city of New Haven, state of CT, with the zip code 65191703.
What is Shoreline Endoscopy Center, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shoreline Endoscopy Center, Llc's specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.
On what date did the Shoreline Endoscopy Center, Llc receive its 1073621579 assignment from the Centers for Medicare & Medicaid Services?
The Shoreline Endoscopy Center, Llc was assigned its 1073621579 by the Centers for Medicare & Medicaid Services on 2006-08-26.
When was the information pertaining to Shoreline Endoscopy Center, Llc most recently updated or revised?
The details related to Shoreline Endoscopy Center, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-12.