Organization
ASSOCIATED ENDOSCOPY LLC
Active
Organization
ASSOCIATED ENDOSCOPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAROL A SANDERS RN (PRACTICE MANAGER)
(615) 885-1093
Entity
Organization
Contact information
Practice address
5651 FRIST BLVD, SUITE 307, HERMITAGE, TN 37076-2054
(615) 885-1093
(615) 885-1110
Mailing address
5651 FRIST BLVD, SUITE 307, HERMITAGE, TN 37076-2054
(615) 885-1093
(615) 885-1110
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
0000000092
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3108448
BLUE CROSS ID#
TN
05
—
3288038
—
TN
01
—
6840076
UNITED HEALTHCARE ID#
TN
Enumeration date
07/07/2005
Last updated
08/22/2020
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