Organization
THE OKLAHOMA CITY ASC LLC
Active
Other names
The Endoscopy Center at Meridian
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP A CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
13313 N MERIDIAN AVE, BUILDING B, OKLAHOMA CITY, OK 73120-8316
(405) 755-4140
(405) 755-4072
Mailing address
13313 N MERIDIAN AVE, BUILDING B, OKLAHOMA CITY, OK 73120-8316
(405) 755-4140
(405) 755-4072
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0057
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100726230A
—
OK
01
—
490003867
RAILROAD MEDICARE
OK
Enumeration date
02/02/2006
Last updated
09/07/2023
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