Organization
MAIN LINE PA ENDOSCOPY ASC LP
Active
Other names
Main Line Endoscopy Center Malvern
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
700 STEEL LN STE 100, MALVERN, PA 19355-3279
(610) 644-7274
(610) 644-7276
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6100
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
15801501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00478537
RAILROAD MEDICARE
PA
Enumeration date
09/20/2006
Last updated
01/23/2026
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