# MIDATLANTIC ENDOSCOPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mid-Atlantic Gastrointestinal Center III
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124559679
- **Authorized official:** MR. PHILLIP A. CLENDENIN (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 2112 HARRISBURG PIKE, SUITE 323, LANCASTER, PA 17601-2644
- **Practice address phone:** (717) 544-3569
- **Mailing address:** 2112 HARRISBURG PIKE, SUITE 323, LANCASTER, PA 17601-2644
- **Mailing address phone:** (717) 544-3569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 17211501 | PA | Yes |

## Other

- **Enumeration date:** 03/27/2017
- **Last updated:** 09/15/2017