Organization
THE ENDOSCOPY CENTER AT ST. FRANCIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS M DRAKE MD (MEDICAL DIRECTOR)
(317) 865-2955
Entity
Organization
Contact information
Practice address
8051 S EMERSON AVE, STE 150, INDIANAPOLIS, IN 46237-8635
(317) 865-2955
(317) 865-2952
Mailing address
8051 S EMERSON AVE, SUITE 150, INDIANAPOLIS, IN 46237-8600
(317) 865-2955
(317) 865-2952
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QE0800X
Endoscopy Clinic/Center
Primary
05-008858-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200064740A
—
IN
Enumeration date
07/11/2005
Last updated
09/23/2024
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