Organization
ENDOSCOPY CENTER OF KINGSPORT
Active
Other names
Sullivan Digestive Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PENNY LEIGH LLOYD (ADMINISTRATOR)
(423) 392-6100
Entity
Organization
Contact information
Practice address
2204 PAVILION DR STE 108, KINGSPORT, TN 37660-4651
(423) 392-6100
(423) 392-6159
Mailing address
2204 PAVILION DR, SUITE 108, KINGSPORT, TN 37660-4657
(423) 392-6100
(423) 392-6159
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
0000000053
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000910
BLUE CROSS BLUE SHIELD
TN
05
—
3287396
—
TN
Enumeration date
08/11/2006
Last updated
11/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us