Organization
THE OVERLAND PARK KS ENDOSCOPY ASC LLC
Active
Other names
Endoscopic Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
10200 W 105TH ST, OVERLAND PARK, KS 66212-5750
(913) 492-0800
(913) 492-2432
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S046017
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100405740B
—
KS
Enumeration date
02/20/2006
Last updated
11/23/2022
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