# GRAND RIVER ENDOSCOPY CENTER, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043288467
- **Authorized official:** HOLLY SUND (ACCESS ASC BILLING TEAM LEAD)
- **Authorized official phone:** (616) 685-7174

## Contact information

- **Practice address:** 310 LAFAYETTE AVE SE, SUITE 200, GRAND RAPIDS, MI 49503-4693
- **Practice address phone:** (616) 752-5890
- **Mailing address:** 310 LAFAYETTE AVE SE, SUITE 200, GRAND RAPIDS, MI 49503-4693
- **Mailing address phone:** (616) 752-5890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QE0800X | Endoscopy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 10/25/2024