# PORTER COUNTY ENDOSCOPY CENTER, LLC

> 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
- **Other names:** Endolabs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902994924
- **Authorized official:** STEPHEN PAUL MD (ADMINISTRATOR)
- **Authorized official phone:** (219) 934-5300

## Contact information

- **Practice address:** 2206 ROOSEVELT RD, SUITE B, VALPARAISO, IN 46383-2749
- **Practice address phone:** (219) 548-9990
- **Mailing address:** 2206 ROOSEVELT RD, VALPARAISO, IN 46383-2749
- **Mailing address phone:** (219) 548-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 06004288 | IN | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 11/25/2008