GASTROINTESTINAL ENDOSCOPY CENTER
NPI 1104899855
Clinic/Center - Ambulatory Surgical in Troy, MI

Q: What is Southfield Endoscopy ASC LLC's NPI number?

The NPI number for Southfield Endoscopy ASC LLC is 1104899855. It was assigned to this organization in the NPPES registry on February 10, 2006. The provider is doing business as Gastrointestinal Endoscopy Center.

Q: What is Southfield Endoscopy ASC LLC's specialty?

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

Active since February 10, 2006CLIA 23D1009657 · Waiver

264 W MAPLE RD, SUITE 100, TROY, MI 48084(248) 269-5594(248) 269-6546 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Gastrointestinal Endoscopy Center NPPES

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

GASTROINTESTINAL ENDOSCOPY CENTER (NPI 1104899855) is a healthcare organization registered as an ambulatory surgical in Troy, Michigan and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through February 20, 2027 and lists Jeffrey Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1104899855

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTHFIELD ENDOSCOPY ASC LLC

Location Address264 W MAPLE RD, SUITE 100Troy, MI 48084-5435

Mailing Address264 W Maple Rd, Suite 100Troy, MI 48084-5435 · (248) 269-5594 · Fax (248) 269-6546

Phone(248) 269-5594

Fax(248) 269-6546

Organization SubpartNo

Authorized OfficialJeffrey SnodgrassPresident · (615) 665-1283

Enumeration DateFebruary 10, 2006

Last NPPES UpdateSeptember 21, 2022

NPPES CertifiedSeptember 21, 2022

✔ NPI 1104899855 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 MI · 636911

264 W MAPLE RD, Troy, MI 48084

Open in Google Maps ↗

Other Names 1

Doing Business AsGastrointestinal Endoscopy Center

Other Identifiers 1

Other94321929MI · Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1009657

Gastrointestinal Endoscopy Center · Troy, MI

Active · expires Feb 20, 2027

CLIA Number23D1009657

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateFebruary 21, 2025

Certificate Expiration DateFebruary 20, 2027

Laboratory DirectorMichael E. Cannon

Laboratory Phone(248) 269-5594

Laboratory LocationGastrointestinal Endoscopy Center264 W Maple Road Suite 100, Troy, MI 48084

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

524 services522 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

520 services517 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

512 services493 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

202 services202 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

128 services128 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

91 services88 patients

Leave this field empty

Other Providers at the Same Location NPPES 10

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

DR. JARED SETH BORTMAN MD

Internal Medicine

264 W MAPLE RD, SUITE 200
TROY, MI 48084

Oakland County (248) 273-9930

DR. GREGORY W KULESZA MD

Internal Medicine (Gastroenterology)