# WAKE ENDOSCOPY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497084982
- **Authorized official:** WILLIAM CHANCE (ADMINISTRATOR)
- **Authorized official phone:** (919) 783-4888

## Contact information

- **Practice address:** 2601 LAKE DR, SUITE 201, RALEIGH, NC 27607-6688
- **Practice address phone:** (919) 783-4888
- **Practice address fax:** (919) 783-4887
- **Mailing address:** 2601 LAKE DR, SUITE 201, RALEIGH, NC 27607-6688
- **Mailing address phone:** (919) 783-4888
- **Mailing address fax:** (919) 783-4887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASO111 | NC | Yes |

## Other

- **Enumeration date:** 12/14/2009
- **Last updated:** 04/10/2024