LONE STAR ENDOSCOPY SOUTHLAKE
NPI 1154844553
Clinic/Center - Ambulatory Surgical in Southlake, TX

Q: What is Lone Star Endoscopy Center, LLC's NPI number?

The NPI number for Lone Star Endoscopy Center, LLC is 1154844553. It was assigned to this organization in the NPPES registry on July 18, 2017. The provider is doing business as Lone Star Endoscopy Southlake.

Q: What is Lone Star Endoscopy Center, LLC's specialty?

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

Active since July 18, 2017CLIA 45D2137481 · Waiver

515 S NOLEN DR, SOUTHLAKE, TX 76092(817) 912-1999 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2024, Nov 10, 2020, Jan 8, 2020 and 3 more (6 updates tracked since 2017).

On this page

About Lone Star Endoscopy Southlake NPPES

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

LONE STAR ENDOSCOPY SOUTHLAKE (NPI 1154844553) is a healthcare organization registered as an ambulatory surgical in Southlake, Texas and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Peter Blach, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1154844553

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameLONE STAR ENDOSCOPY CENTER, LLC

Location Address515 S NOLEN DRSouthlake, TX 76092-9167

Mailing Address515 S Nolen DrSouthlake, TX 76092-9167 · (817) 912-1999

Phone(817) 912-1999

Organization SubpartNo

Authorized OfficialPeter BlachOfficer/authorized Official · (713) 343-0832

Enumeration DateJuly 18, 2017

Last NPPES UpdateOctober 11, 20246 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1154844553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

515 S NOLEN DR, Southlake, TX 76092

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Other Names 1

Doing Business AsLone Star Endoscopy Southlake

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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 45D2137481

Lone Star Endoscopy Center, LLC Southlake · Southlake, TX

Active · expires Sep 26, 2027

CLIA Number45D2137481

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 27, 2025

Certificate Expiration DateSeptember 26, 2027

Laboratory DirectorJeffrey A. Smith

Laboratory Phone(817) 912-1999

Laboratory LocationLone Star Endoscopy Center, LLC Southlake515 South Nolen Drive, Southlake, TX 76092

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 13

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.

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.

817 services812 patients

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.

705 services702 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.

528 services513 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.

218 services218 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

177 services136 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.

81 services81 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

68 services68 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

28 services23 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

24 services24 patients

Biopsy of lower large bowel using a flexible endoscope 45331

A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.

22 services20 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

19 services18 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

17 services17 patients

Removal of polyps or growths of lower large bowel using a flexible endoscope with mechanical snare 45338

This procedure involves removing abnormal growths called polyps from the lower part of the large bowel. A flexible tube with a camera, known as an endoscope, is used to view the inside of the bowel. A special tool called a mechanical snare is used to cut and remove the polyps.

16 services15 patients

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 Lone Star Endoscopy Center, LLC's NPI number?

The NPI number for Lone Star Endoscopy Center, LLC is 1154844553. It was assigned to this organization in the NPPES registry on July 18, 2017. The provider is doing business as Lone Star Endoscopy Southlake.

Where is Lone Star Endoscopy Center, LLC located?

Lone Star Endoscopy Center, LLC is located at 515 S Nolen Dr, Southlake, TX 76092. The listed phone number is (817) 912-1999.

What is Lone Star Endoscopy Center, LLC's specialty?

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

Does Lone Star Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2137481) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lone Star Endoscopy Center, LLC accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Lone Star Endoscopy Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lone Star Endoscopy Center, LLC was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.