# BERKELEY ENDOSCOPY CENTER LLC

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

## Provider details

- **NPI number:** 1841395621
- **Authorized official:** DR. SIVA K CHOCKALINGAM MD (PRESIDENT)
- **Authorized official phone:** (803) 788-1120

## Contact information

- **Practice address:** 1072 WILDWOOD CENTRE DR, COLUMBIA, SC 29229-8420
- **Practice address phone:** (803) 788-1120
- **Practice address fax:** (803) 788-4522
- **Mailing address:** 1072 WILDWOOD CENTRE DR, COLUMBIA, SC 29229-8420
- **Mailing address phone:** (803) 788-1120
- **Mailing address fax:** (803) 788-4522

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 10/22/2012