Organization
COLLEGE HEIGHTS ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
3147 COLLEGE HEIGHTS BLVD, ALLENTOWN, PA 18104-4813
(610) 841-2432
(610) 841-4433
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
15861501
PA
261QE0800X
Endoscopy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01946863-0001
—
PA
01
—
490005657
RAILROAD MEDICARE
—
Enumeration date
08/10/2005
Last updated
12/14/2022
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