ENDOSCOPY CENTER OF ST. LOUIS
NPI 1023094836
Clinic/Center - Endoscopy in Lake Saint Louis, MO

Active since December 22, 2005
200 BREVCO PLAZA, SUITE 207, LAKE SAINT LOUIS, MO 63367(636) 561-5450(636) 561-5451 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Endoscopy Center Of St. Louis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENDOSCOPY CENTER OF ST. LOUIS (NPI 1023094836) is a healthcare organization registered as an endoscopy in Lake Saint Louis, Missouri and active in the NPI registry since December 2005. The organization lists James H. Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1023094836
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameENDOSCOPY CENTER OF ST. LOUIS
Location Address200 BREVCO PLAZA, SUITE 207Lake Saint Louis, MO 63367
Mailing Address200 Brevco Plz, Suite 207Lake Saint Louis, MO 63367-2947 · (636) 561-5450 · Fax (636) 561-5451
Fax(636) 561-5451
Organization SubpartNo
Authorized OfficialJames H. PetersenPresident · (636) 561-5450
Enumeration DateDecember 22, 2005
Last NPPES UpdateNovember 27, 2007
NPI 1023094836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
License Licensed in MO · 152-0
200 BREVCO PLAZA, Lake Saint Louis, MO 63367

Other Identifiers 2

Other195965MO · Bcbs
OtherP00214935MO · Rail Road Medicare

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023094836, enumerated as an "organization" on December 22, 2005.

The provider is located at 200 BREVCO PLAZA SUITE 207 LAKE SAINT LOUIS, MO 63367 and the phone number is (636) 561-5450.

Clinic/Center with taxonomy code 261QE0800X and a focus in Endoscopy.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.