Organization Name: | CGS ENDOSCOPY CENTER, PLLC |
NPI Number: | 1063667020 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VENKATESH LAKSHMAN (PHYSICIAN/OWNER) |
Mailing Address: | 3520 Airport Blvd Nw Ste F Wilson |
State: | NC US |
Postal Code: | 278968674 |
Phone Number: | 2522065622 |
Fax Number: | 2522065623 |
NPI Enumeration Date: | 11/18/2008 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | AS0112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |