Organization
INDEPENDENCE ASC LLC
Active
Other names
The Endoscopy Center - Liberty
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
9601 NE 79TH ST, KANSAS CITY, MO 64158-1117
(816) 478-4887
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
158-0
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200369500A
—
KS
05
—
507557007
—
MO
Enumeration date
02/03/2006
Last updated
11/23/2022
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