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EASTSIDE ENDOSCOPY CENTER
NPI 1407847676
Clinic/Center - Endoscopy in St Clair Shores, MI

Active since November 04, 2005CLIA 23D0909570 · Waiver
28963 LITTLE MACK AVE, SUITE 103, ST CLAIR SHORES, MI 48081(586) 447-5110(586) 774-6091 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastside Endoscopy Center NPPES

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

EASTSIDE ENDOSCOPY CENTER (NPI 1407847676) is a healthcare organization registered as an endoscopy in St Clair Shores, Michigan and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through December 10, 2027 and lists Robert Veneri, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1407847676
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameEASTSIDE ASSOCIATES, LLC
Location Address28963 LITTLE MACK AVE, SUITE 103St Clair Shores, MI 48081-3015
Mailing Address28963 Little Mack Ave, Suite 103St Clair Shores, MI 48081-3015 · (586) 447-5110 · Fax (586) 774-6091
Phone(586) 447-5110
Fax(586) 774-6091
Organization SubpartNo
Authorized OfficialRobert VeneriMedical Director · (586) 447-5112
Enumeration DateNovember 4, 2005
Last NPPES UpdateFebruary 8, 2017
✔ NPI 1407847676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
License✔ Licensed in MI · 506822
28963 LITTLE MACK AVE, St Clair Shores, MI 48081
Open in Google Maps ↗

Other Names 1

Doing Business AsEastside Endoscopy Center

Other Identifiers 2

Other40358MI · Blue Cross Id Number
Medicare ID-Type UnspecifiedOM25150MI

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, Priority Health 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 23D0909570

Eastside Endoscopy Center · St Clair Shores, MI
Active · expires Dec 10, 2027
CLIA Number23D0909570
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorSamantha A. Miller
Laboratory Phone(586) 447-5110
Laboratory LocationEastside Endoscopy Center28963 Little Mack Ste 103, St Clair Shores, MI 48081
CLIA data matches this NPI record on: 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.

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.
608 services607 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.
403 services403 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.
398 services389 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.
227 services223 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.
101 services99 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.
49 services49 patients

Other Providers at the Same Location NPPES 12

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

SUDHANSHU PATEL MD
Internal Medicine (Gastroenterology)
28963 LITTLE MACK AVE, SUITE 101
ST CLAIR SHORES, MI 48081
Macomb County (586) 447-0700
KIANNA MICHELLE LYONS NP
Nurse Practitioner (Acute Care)
28963 LITTLE MACK AVE, 101
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 447-0700
GI MEDICAL ASSOC PC
Internal Medicine (Gastroenterology)
28963 LITTLE MACK AVE, SUITE 101
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 447-0700
EASTSIDE GROUP LLC
Anesthesiology
28963 LITTLE MACK AVE, SUITE 103
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 447-5110
IRENA ZALEWSKA MD
Internal Medicine (Gastroenterology)
28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC SUITE 101
ST CLAIR SHORES, MI 48081
Macomb County (586) 447-0700
KETAN G RANA MD
Internal Medicine (Gastroenterology)
28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC SUITE 101
ST CLAIR SHORES, MI 48081
Macomb County (586) 447-0700
VALIYA V RAVI MD
Internal Medicine (Gastroenterology)
28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC
ST CLAIR SHORES, MI 48081
Macomb County (586) 447-0700
VASILIOS POZIOS MD
Internal Medicine (Gastroenterology)
28963 LITTLE MACK AVE, GI MEDICINE ASSOCIATES PC SUITE 101
ST CLAIR SHORES, MI 48081
Macomb County (586) 447-0700

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 Eastside Associates, LLC's NPI number?

The NPI number for Eastside Associates, LLC is 1407847676. It was assigned to this organization in the NPPES registry on November 4, 2005. The provider is doing business as Eastside Endoscopy Center.

Where is Eastside Associates, LLC located?

Eastside Associates, LLC is located at 28963 Little Mack Ave Suite 103, St Clair Shores, MI 48081. The listed phone number is (586) 447-5110.

What is Eastside Associates, LLC's specialty?

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

Does Eastside Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0909570) is associated with this NPI, valid through December 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eastside Associates, LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Eastside Associates, 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 Eastside Associates, LLC was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.