# THE OKLAHOMA CITY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Endoscopy Center at Meridian
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134191331
- **Authorized official:** PHILLIP A CLENDENIN (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 13313 N MERIDIAN AVE, BUILDING B, OKLAHOMA CITY, OK 73120-8316
- **Practice address phone:** (405) 755-4140
- **Practice address fax:** (405) 755-4072
- **Mailing address:** 13313 N MERIDIAN AVE, BUILDING B, OKLAHOMA CITY, OK 73120-8316
- **Mailing address phone:** (405) 755-4140
- **Mailing address fax:** (405) 755-4072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0057 | OK | Yes |

## Other

- **Enumeration date:** 02/02/2006
- **Last updated:** 09/07/2023