Lake Country Endoscopy Center, Llc

LBN: Lake Country Endoscopy Center, Llc
Lake Country Endoscopy Center, Llc is an health care organization with primary practice located at 1185 Corporate Center Dr Suite 125, Oconomowoc WI 53066-4845. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Lake Country Endoscopy Center, Llc can be contacted via phone (414) 454-0600, or through Molloy, Robert Michael via phone (414) 454-0600.

Contact Information

Primary practice address
1185 Corporate Center Dr Suite 125 Oconomowoc WI 53066-4845
Phone: (414) 454-0600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Molloy, Robert Michael Doctor of Medicine (MD)
Phone: (414) 454-0600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1184897472
LBN Legal business name Lake Country Endoscopy Center, Llc
DBA Doing business as
Authorized official Molloy, Robert Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2008
Last updated Oct 25th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184897472 NPPES
Wisconsin MEDICAID 1184897472

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