1. Home
  2. Directory
  3. Missouri
  4. St Louis
  5. Clinic Center
  6. NPI Profile

CENTRAL WEST END ENDOSCOPY LLC
NPI 1114380052
Clinic/Center - Ambulatory Surgical in St. Louis, MO

Active since March 29, 2016CLIA 26D2122738 · Waiver
4510 DELMAR BLVD STE B, ST. LOUIS, MO 63108(314) 334-4499(314) 696-0073 Get Directions Write a Review

NPPES record last updated: February 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2025, Nov 21, 2024, Mar 29, 2016 (3 updates tracked since 2016).

About Central West End Endoscopy Llc NPPES

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

CENTRAL WEST END ENDOSCOPY LLC (NPI 1114380052) is a healthcare organization registered as an ambulatory surgical in St. Louis, Missouri and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through December 5, 2026 and lists David Russell Horace, Consultant, as its authorized official.

NPPES Registry Identity

NPI1114380052
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCENTRAL WEST END ENDOSCOPY LLC
Location Address4510 DELMAR BLVD STE BSt. Louis, MO 63108-1702
Mailing Address4510 Delmar Blvd Ste BSt. Louis, MO 63108-1702 · (314) 334-4499 · Fax (314) 696-0073
Phone(314) 334-4499
Fax(314) 696-0073
Organization SubpartNo
Authorized OfficialDavid Russell HoraceConsultant · (618) 235-2299
Enumeration DateMarch 29, 2016
Last NPPES UpdateFebruary 23, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2025
✔ NPI 1114380052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4510 DELMAR BLVD STE B, St. Louis, MO 63108
Open in Google Maps ↗

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 26D2122738

Central West End Endoscopy LLC · Saint Louis, MO
Active · expires Dec 5, 2026
CLIA Number26D2122738
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorDamon Clines
Laboratory Phone(314) 454-6903
Laboratory LocationCentral West End Endoscopy LLC4510 Delmar Blvd, Saint Louis, MO 63108
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Central West End Endoscopy LLC's NPI number?

The NPI number for Central West End Endoscopy LLC is 1114380052. It was assigned to this organization in the NPPES registry on March 29, 2016.

Where is Central West End Endoscopy LLC located?

Central West End Endoscopy LLC is located at 4510 Delmar Blvd Ste B, St. Louis, MO 63108. The listed phone number is (314) 334-4499.

What is Central West End Endoscopy LLC's specialty?

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

Does Central West End Endoscopy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2122738) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central West End Endoscopy LLC was last updated on February 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.