THE ENDOSCOPY & COLONOSCOPY CENTER
NPI 1790132322
Clinic/Center - Ambulatory Surgical in Hazelwood, MO
NPI Status: Active since May 24, 2016
Contact Information
100 VILLAGE SQ
HAZELWOOD, MO
ZIP 63042
Phone: (314) 373-8931
Fax: (314) 373-8935
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 26D1028574
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 07-26-2026
About THE ENDOSCOPY & COLONOSCOPY CENTER
This page provides the complete NPI Profile along with additional information for The Endoscopy & Colonoscopy Center, a provider established in Hazelwood, Missouri operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1790132322 assigned on May 2016. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as The Endoscopy & Colonoscopy Center. The authorized official of this NPI record is Jenetha D Moran (Officer / Authorized Official)
- NPI
- 1790132322
- Provider Legal Name
- RIVERSIDE AMBULATORY SURGERY CENTER, LLC
- Other Organization Name
- THE ENDOSCOPY & COLONOSCOPY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 100 VILLAGE SQ HAZELWOOD, MO 63042
- Location Phone
- (314) 373-8931
- Location Fax
- (314) 373-8935
- Mailing Address
- 15305 DALLAS PKWY #1600 ADDISON, TX 75001
- Mailing Phone
- (972) 763-3893
- Mailing Fax
- (314) 373-8935
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-24-2016
- Last Update Date
- 05-24-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D1028574
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- July 27, 2024
- Certificate Expiration Date
- July 26, 2026
- Laboratory Director
- GARY KOENIG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Endoscopy & Colonoscopy Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 1 | 3 | 2 | 3 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 2 | 3 | 4 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 2 + 3 + 4 + 3 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1790132322 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538152301 | DAVID M MARGOLIS MD Individual | Internal Medicine (Gastroenterology) | 100 VILLAGE SQ HAZELWOOD, MO 63042 (314) 355-4010 |
| 1912043373 | DIGESTIVE DISEASE SPECIALISTS INC Organization | Internal Medicine (Gastroenterology) | 100 VILLAGE SQ HAZELWOOD, MO 63042 (314) 355-4010 |
| 1427175645 | DIGESTIVE CARE CONSULTANTS, INC Organization | Internal Medicine (Gastroenterology) | 100 VILLAGE SQ HAZELWOOD, MO 63042 (314) 298-1600 |
| 1073919494 | DREAMLAND UAP ANESTHESIA, LLC Organization | Nurse Anesthetist, Certified Registered | 100 VILLAGE SQ HAZELWOOD, MO 63042 (314) 373-8931 |
| 1861485724 | GARY DAVID KOENIG M.D. Individual | Internal Medicine (Gastroenterology) | 100 VILLAGE SQ HAZELWOOD, MO 63042 (314) 355-4010 |
| 1861485476 | DAVID W LANDAU MD Individual | Internal Medicine (Gastroenterology) | 100 VILLAGE SQ HAZELWOOD, MO 63042 (314) 355-4010 |
| 1225535263 | TOMMA CHEVON STOWERS AGNP Individual | Nurse Practitioner (Adult Health) | 100 VILLAGE SQ HAZELWOOD, MO 63042 (314) 355-4010 |
| 1700301272 | JENNIFER MARIE PHILLIPS Individual | Nurse Practitioner (Family) | 100 VILLAGE SQ HAZELWOOD, MO 63042 (314) 355-4010 |
| 1497751994 | ROBYN LEITH HAITHCOCK SR. DO Individual | Internal Medicine (Gastroenterology) | 100 VILLAGE SQ HAZELWOOD, MO 63042 (314) 355-4010 |
| 1003952458 | ELDAD SHAUL BIALECKI M.D. Individual | Internal Medicine (Gastroenterology) | 100 VILLAGE SQ HAZELWOOD, MO 63042 (314) 355-4010 |
| 1366515504 | RIVERSIDE AMBULATORY SURGERY CENTER, LLC Organization | Clinic/Center (Ambulatory Surgical) | 100 VILLAGE SQ HAZELWOOD, MO 63042 (314) 373-8931 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790132322, enumerated in the NPI registry as an "organization" on May 24, 2016
The provider is located at 100 Village Sq Hazelwood, Mo 63042 and the phone number is (314) 373-8931
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 26D1028574 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 24, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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