Healthcare Provider Details

I. General information

NPI: 1891769121
Provider Name (Legal Business Name): MIDWEST ENDOSCOPY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12855 N 40 DR SUITE 150
SAINT LOUIS MO
63141-8635
US

IV. Provider business mailing address

11221 ROE AVE SUITE 200
LEAWOOD KS
66211-1748
US

V. Phone/Fax

Practice location:
  • Phone: 800-590-2713
  • Fax:
Mailing address:
  • Phone: 800-590-2713
  • Fax: 913-647-6870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberPENDING
License Number StateMO

VIII. Authorized Official

Name: DR. GIUSEPPE ALIPERTI
Title or Position: CHAIRMAN
Credential: M.D.
Phone: 314-628-9000