# PREMIER ENDOSCOPY ASC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Endoscopy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689100299
- **Authorized official:** JENETHA MORAN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (972) 763-3893

## Contact information

- **Practice address:** 2563 S VAL VISTA DR, SUITE 101, GILBERT, AZ 85295-1804
- **Practice address phone:** (480) 786-6655
- **Mailing address:** 15305 DALLAS PKWY, SUITE 1600, ADDISON, TX 75001-4637
- **Mailing address phone:** (972) 763-3893

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2017
- **Last updated:** 05/03/2017