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EAST BAY ENDOSCOPY CENTER LLC
NPI 1235348335
Clinic/Center - Endoscopy in Portsmouth, RI

Active since May 22, 2007CLIA 41D1070544 · Waiver
109 CLOCK TOWER SQUARE, PORTSMOUTH, RI 02871(401) 421-8800(401) 278-4070 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Bay Endoscopy Center Llc NPPES

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

EAST BAY ENDOSCOPY CENTER LLC (NPI 1235348335) is a healthcare organization registered as an endoscopy in Portsmouth, Rhode Island and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1235348335
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameEAST BAY ENDOSCOPY CENTER LLC
Location Address109 CLOCK TOWER SQUAREPortsmouth, RI 02871
Mailing Address33 Staniford StProvidence, RI 02905-3105 · (401) 421-8800 · Fax (401) 278-4070
Phone(401) 421-8800
Fax(401) 278-4070
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1235348335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
109 CLOCK TOWER SQUARE, Portsmouth, RI 02871
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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 41D1070544

East Bay Endoscopy Center · Portsmouth, RI
Active · expires Jul 1, 2027
CLIA Number41D1070544
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorKathryn E. Abiri Rn
Laboratory Phone(401) 293-5400
Laboratory LocationEast Bay Endoscopy Center109 Clock Tower Square 2nd Floor, Portsmouth, RI 02871
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.
228 services227 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.
202 services202 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.
145 services142 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.
66 services66 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.
31 services31 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.
20 services20 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 East Bay Endoscopy Center LLC's NPI number?

The NPI number for East Bay Endoscopy Center LLC is 1235348335. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is East Bay Endoscopy Center LLC located?

East Bay Endoscopy Center LLC is located at 109 Clock Tower Square, Portsmouth, RI 02871. The listed phone number is (401) 421-8800.

What is East Bay Endoscopy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Does East Bay Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D1070544) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Bay Endoscopy Center LLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.