METROEAST ENDOSCOPY CENTRE
NPI 1356650915
Clinic/Center - Ambulatory Surgical in Fairview Heights, IL
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 14D2014038
- CLIA Cert. Type: Other - ENDOSCOPY CENTER
- CLIA Exp. Date: 09-29-2026
About METROEAST ENDOSCOPY CENTRE
This page provides the complete NPI Profile along with additional information for Metroeast Endoscopy Centre, a provider established in Fairview Heights, Illinois operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1356650915 assigned on September 2010. The practitioner's primary taxonomy code is 261QA1903X with license number 036107831 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Shakel Ahmed Md (President)
- NPI
- 1356650915 Verify this NPI
- Provider Name
- METROEAST ENDOSCOPY CENTRE
- Entity Type
- Organization
- Location Address
- 5023 N ILLINOIS ST FAIRVIEW HEIGHTS, IL 62208
- Location Phone
- (618) 239-0678
- Location Fax
- (800) 516-2392
- Mailing Address
- 5023 N ILLINOIS ST FAIRVIEW HEIGHTS, IL 62208
- Mailing Phone
- (618) 239-0678
- Mailing Fax
- (800) 516-2392
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-30-2010
- Last Update Date
- 09-30-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 036107831
- License State
- IL
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2014038
- Facility Type
- Other - ENDOSCOPY CENTER
- Certificate Effective Date
- September 30, 2024
- Certificate Expiration Date
- September 29, 2026
- Laboratory Director
- DR. SHAKEEL AHMED
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Metroeast Endoscopy Centre to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
FAIRVIEW HEIGHTS, IL 62208
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356650915, enumerated as an "organization" on September 30, 2010.
The provider is located at 5023 N ILLINOIS ST FAIRVIEW HEIGHTS, IL 62208 and the phone number is (618) 239-0678.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
