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NPI Code Detail

MEDICARE: CAPITAL ENDOSCOPY LLC

MEDICARE: CAPITAL ENDOSCOPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/CenterA1391MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770513855
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPITAL ENDOSCOPY LLC
Provider Business Mailing Address
First Line : 6475 NEW HAMPSHIRE AVE
Second Line : SUITE 150
City : HYATTSVILLE
State : MD
Zip : 20783-3269
Country : US
Telephone Number : 301-270-0022
Fax Number : 301-270-2666
Provider Business Practice Location Address
First Line : 6475 NEW HAMPSHIRE AVE
Second Line : SUITE 150
City : HYATTSVILLE
State : MD
Zip : 20783-3269
Country : US
Telephone Number : 301-270-0022
Fax Number : 301-270-2666
Authorized Official
Title or Position : BILLING ADMINISTRATOR
Name : CHRIS KIRBY
Credential :
Telephone Number : 301-651-3980
Provider Enumeration Date : 07/04/2006
Last Update Date : 04/19/2023

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