Organization
LOS ALAMOS NM ENDOSCOPY ASC LLC
Active
Other names
The Endoscopy Center of Los Alamos
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER A HOLDEN (CHIEF MANAGER OF LLC)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1911 CENTRAL AVE, SUITE 100, LOS ALAMOS, NM 87544-3023
(505) 661-9976
(505) 661-2604
Mailing address
1911 CENTRAL AVE, SUITE 100, LOS ALAMOS, NM 87544-3023
(505) 661-9976
(505) 661-2604
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
3201
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98128361
—
NM
Enumeration date
02/14/2006
Last updated
04/20/2008
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