# MNGI ENDOSCOPY ASC INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1669496345
- **Authorized official:** SCOTT KETOVER MD (PRESIDENT)
- **Authorized official phone:** (612) 871-1145

## Contact information

- **Practice address:** 3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN 55413
- **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 | PENDING | MN | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 04/02/2024