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LAKE MURRAY ENDOSCOPY CENTER
NPI 1063486504
Clinic/Center - Ambulatory Surgical in Columbia, SC

Active since February 13, 2006
190 PARKRIDGE DR, SUITE 100, COLUMBIA, SC 29212(803) 407-6767(803) 407-6757 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Murray Endoscopy Center NPPES

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

LAKE MURRAY ENDOSCOPY CENTER (NPI 1063486504) is a healthcare organization registered as an ambulatory surgical in Columbia, South Carolina and active in the NPI registry since February 2006. The organization lists Phillip Clendenin, President, as its authorized official.

NPPES Registry Identity

NPI1063486504
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOLUMBIA ASC NORTHWEST LLC
Location Address190 PARKRIDGE DR, SUITE 100Columbia, SC 29212-1747
Mailing Address1a Burton Hills Blvd, Attn: L&cNashville, TN 37215-6103 · (803) 407-6767 · Fax (803) 407-6757
Phone(803) 407-6767
Fax(803) 407-6757
Organization SubpartNo
Authorized OfficialPhillip ClendeninPresident · (615) 665-1283
Enumeration DateFebruary 13, 2006
Last NPPES UpdateSeptember 7, 2023
✔ NPI 1063486504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in SC · ASF-076
190 PARKRIDGE DR, Columbia, SC 29212
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Other Names 1

Doing Business AsLake Murray Endoscopy Center

Other Identifiers 1

MedicaidASC048SC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALMETTO HEALTH
Family Medicine
190 PARKRIDGE DR, SUITE 220
COLUMBIA, SC 29212
Lexington County (803) 296-7304
PALMETTO HEALTH
Family Medicine
190 PARKRIDGE DR, SUITE 250
COLUMBIA, SC 29212
Lexington County (803) 296-7304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Columbia ASC Northwest LLC's NPI number?

The NPI number for Columbia ASC Northwest LLC is 1063486504. It was assigned to this organization in the NPPES registry on February 13, 2006. The provider is doing business as Lake Murray Endoscopy Center.

Where is Columbia ASC Northwest LLC located?

Columbia ASC Northwest LLC is located at 190 Parkridge Dr Suite 100, Columbia, SC 29212. The listed phone number is (803) 407-6767.

What is Columbia ASC Northwest LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Columbia ASC Northwest LLC was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.