| Organization Name: | RIVERSIDE ENDOSCOPY CENTER LLC |
| NPI Number: | 1073569257 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HIMANSHU DESAI (PARTNER) |
| Mailing Address: | 1805 Sinclair Ave Steubenville |
| State: | OH US |
| Postal Code: | 439533327 |
| Phone Number: | 7402642686 |
| Fax Number: | |
| NPI Enumeration Date: | 05/26/2006 |
| NPI Last Update Date: | 04/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 0765AS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |