MEDICARE: NEW ORLEANS LA UPTOWN WEST BANK ENDOSCOPY ASC 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
1	261QA1903X	Ambulatory Surgical Clinic/Center	150	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00467752	OTHER	LA	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1780865634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ORLEANS LA UPTOWN WEST BANK ENDOSCOPY ASC LLC

Provider Business Mailing Address
First Line	:	1A BURTON HILLS BLVD # L&C
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-6100
Country	:	US
Telephone Number	:	615-240-3741
Fax Number	:

Provider Business Practice Location Address
First Line	:	1151 BARATARIA BLVD STE 4200
Second Line	:
City	:	MARRERO
State	:	LA
Zip	:	70072-3084
Country	:	US
Telephone Number	:	504-349-6310
Fax Number	:	504-349-6298

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEFFREY E SNODGRASS
Credential	:
Telephone Number	:	615-665-1283

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	01/22/2024

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Directions to “NEW ORLEANS LA UPTOWN WEST BANK ENDOSCOPY ASC LLC ” Practice Location

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