# MIDLANDS ENDOSCOPY CENTER LLC

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

## Provider details

- **NPI number:** 1528143922
- **Authorized official:** REBECCA SUZETTE STONE (ADMINISTRATOR)
- **Authorized official phone:** (803) 749-3770

## Contact information

- **Practice address:** 1 WELLNESS BLVD, SUITE 111, IRMO, SC 29063
- **Practice address phone:** (803) 749-3770
- **Practice address fax:** (803) 749-3558
- **Mailing address:** 1 WELLNESS BLVD STE 111, MIDLANDS ENDOSCOPY CENTER, LLC, IRMO, SC 29063-2873
- **Mailing address phone:** (803) 749-3770
- **Mailing address fax:** (803) 749-3558

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 01/13/2020