# AFFILIATED ENDOSCOPY CENTERS, LLC

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

## Provider details

- **NPI number:** 1518995513
- **Authorized official:** SCOTT KETOVER MD (PRESIDENT/CEO)
- **Authorized official phone:** (612) 871-1145

## Contact information

- **Practice address:** 3588 ARCADE ST \# 100, VADNAIS HEIGHTS, MN 55127-7135
- **Practice address phone:** (612) 871-1145
- **Practice address fax:** (612) 870-5491
- **Mailing address:** PO BOX 14909, MINNEAPOLIS, MN 55414-0909
- **Mailing address phone:** (612) 871-1145
- **Mailing address fax:** (612) 870-5491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 4433340 | MN | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 10/05/2023