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Organization
INDEPENDENCE ASC LLC
Active
Organization
INDEPENDENCE ASC LLC
Active
Other names
The Endoscopy Center - East
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
3800 S WHITNEY AVE, SUITE 100, INDEPENDENCE, MO 64055-6765
(816) 478-4887
(816) 350-2196
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 534-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
83-10
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200369500A
—
MO
Enumeration date
02/03/2006
Last updated
11/23/2022
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