Organization
MID-STATE ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCOTT MONTGOMERY (OFFICER/AUTHORIZED OFFICIAL)
(615) 848-9234
Entity
Organization
Contact information
Practice address
1115 DOW STREET, SUITE A, MURFREESBORO, TN 37130-2443
(615) 848-9234
(615) 893-3188
Mailing address
1115 DOW ST STE A, MURFREESBORO, TN 37130-2487
(615) 848-9234
(615) 893-3188
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
210
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01044051
RAILROAD MEDICARE
TN
Enumeration date
05/14/2010
Last updated
03/26/2026
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