# GH EDMONDS ENDOSCOPY CENTER SUB LLC

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

## Provider details

- **NPI number:** 1750191029
- **Authorized official:** ERIC BOON (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 21600 HIGHWAY 99 STE 260, EDMONDS, WA 98026-8049
- **Practice address phone:** (469) 872-4706
- **Mailing address:** 21600 HIGHWAY 99 STE 260, EDMONDS, WA 98026-8049

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2025
- **Last updated:** 02/27/2026