# SALT LAKE ENDOSCOPY CENTER

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

## Provider details

- **NPI number:** 1609896216
- **Authorized official:** DR. STEWART L ELLINGTON DR (PRESIDENT)
- **Authorized official phone:** (801) 364-5767

## Contact information

- **Practice address:** 24 S 1100 E STE 103, SALT LAKE CITY, UT 84102-1592
- **Practice address phone:** (801) 355-2987
- **Practice address fax:** (801) 531-9704
- **Mailing address:** 24 SOUTH 1100 EAST \#103, SALT LAKE CITY, UT 84102
- **Mailing address phone:** (801) 355-2987
- **Mailing address fax:** (801) 531-9704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2006-ASF-332 | UT | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 08/22/2020