Organization
LORAIN ASC LP
Active
Other names
Erie Shores Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BILLIE PAYNE (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
3600 KOLBE RD, SUITE 019, LORAIN, OH 44053-1654
(440) 960-7277
(440) 960-7278
Mailing address
3600 KOLBE RD, SUITE 019, LORAIN, OH 44053-1654
(440) 960-7277
(440) 960-7278
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0387AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041249
—
OH
Enumeration date
01/18/2006
Last updated
09/07/2023
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