# ENDOSCOPY CENTER - UNIVERSITY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carolina Endoscopy Center- University
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437221660
- **Authorized official:** JULIE ROTHROCK (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (704) 372-7974

## Contact information

- **Practice address:** 101 E WT HARRIS BLVD, SUITE 3215, CHARLOTTE, NC 28262-3485
- **Practice address phone:** (704) 927-4280
- **Practice address fax:** (704) 927-4286
- **Mailing address:** 300 BILLINGSLEY RD, SUITE 200, CHARLOTTE, NC 28211-1075
- **Mailing address phone:** (704) 372-7974
- **Mailing address fax:** (704) 372-5166

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 02/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2381097B | MEDICARE, OTHER | NC |