Organization
GRANT SCOPE CENTER, LLC
Active
Other names
Downtown Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON KIM D.O. (BOARD PRESIDENT)
(614) 458-1183
Entity
Organization
Contact information
Practice address
700 E BROAD ST, 1ST FLOOR, COLUMBUS, OH 43215-3946
(614) 917-1670
(614) 947-3991
Mailing address
700 E BROAD ST, 1ST FLOOR, COLUMBUS, OH 43215-3946
(614) 917-1670
(614) 947-3991
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0928AS
OH
261QE0800X
Endoscopy Clinic/Center
0928AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004233
—
OH
Enumeration date
08/26/2008
Last updated
01/13/2011
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