# THE OVERLAND PARK KS ENDOSCOPY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Endoscopic Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235104738
- **Authorized official:** JEFFREY E SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 10200 W 105TH ST, OVERLAND PARK, KS 66212-5750
- **Practice address phone:** (913) 492-0800
- **Practice address fax:** (913) 492-2432
- **Mailing address:** 1A BURTON HILLS BLVD \# L&C, NASHVILLE, TN 37215-6187
- **Mailing address phone:** (615) 665-1283
- **Mailing address fax:** (615) 234-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S046017 | KS | Yes |

## Other

- **Enumeration date:** 02/20/2006
- **Last updated:** 11/23/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100405740B | — | KS |