Organization · Type 2 NPI

Civista Clinical Services, LLC

Endoscopy Clinic/Center · La Plata, MD

NPI number 1689212151 Active

Practice location

5 N La Plata Ct Ste 201
La Plata, MD 20646-5208

Specialties and licenses

Taxonomy	Code	License
Endoscopy Clinic/Center Primary	261QE0800X	None listed

Endoscopy Clinic/Center: Definition to come...

3 other providers at this address

Maryland Anesthesia & Pain Management Services, PCAnesthesiology Physician La Plata, MD NPI 1245072834
Northstar Anesthesia of Maryland LLCAnesthesiology Physician La Plata, MD NPI 1114767027
University of Maryland Community Medical Group, Inc.Family Medicine Physician La Plata, MD NPI 1215783907

NPI record

NPI: 1689212151
Entity type: Organization (Type 2)
Issued: Dec 16, 2019
Last updated: Mar 2, 2020
Status: Active
Subpart: Yes of Civista Clinical Services, LLC

Other names

<unavail>
Um Charles Regional Endoscopy Center · doing business as
Um Charles Regional Endoscopy Center · doing business as

Authorized official

Albert Zanger
Chief Financial Officer
(301) 609-5163

Verify this record

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About NPI 1689212151

Civista Clinical Services, LLC's National Provider Identifier is 1689212151, issued on Dec 16, 2019. The primary taxonomy on file is Endoscopy Clinic/Center (261QE0800X), and the practice location is in La Plata, MD. The record was last updated on Mar 2, 2020.