| Organization Name: | OUTPATIENT ENDOSCOPY & SURGI CENTER |
| NPI Number: | 1053439117 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HARIVALLABH D PANDYA (PRESIDENT) |
| Mailing Address: | 28300 Harper Ave Saint Clair Shores |
| State: | MI US |
| Postal Code: | 480811686 |
| Phone Number: | 5867786090 |
| Fax Number: | 5867781943 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 506821 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |