# LEWES DE ENDOSCOPY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seaside Endoscopy Pavilion
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386618783
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 34444 KING STREET ROW, SUITE 4A, LEWES, DE 19958-4787
- **Practice address phone:** (302) 644-3852
- **Practice address fax:** (302) 644-3854
- **Mailing address:** 1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
- **Mailing address phone:** (302) 644-3852
- **Mailing address fax:** (302) 644-3854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | NONE REQUIRED | DE | Yes |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 09/21/2022