FORT MYERS ENDOSCOPY CENTER LLC
NPI 1730355595
Clinic/Center - Ambulatory Surgical in Fort Myers, FL

Active since May 01, 2008CLIA 10D2003353 · Waiver
5050 MASON CORBIN CT, FORT MYERS, FL 33907(239) 482-2281 Get Directions Write a Review

NPPES record last updated: July 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Myers Endoscopy Center Llc NPPES

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

FORT MYERS ENDOSCOPY CENTER LLC (NPI 1730355595) is a healthcare organization registered as an ambulatory surgical in Fort Myers, Florida and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through February 7, 2028 and lists Suresh Chavakula, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1730355595
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFORT MYERS ENDOSCOPY CENTER LLC
Location Address5050 MASON CORBIN CTFort Myers, FL 33907-4541
Mailing Address5050 Mason Corbin CtFort Myers, FL 33907-4541 · (239) 482-2281
Organization SubpartNo
Authorized OfficialSuresh ChavakulaMedical Director · (239) 482-2280
Enumeration DateMay 1, 2008
Last NPPES UpdateJuly 10, 2009
NPI 1730355595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in FL · 996
5050 MASON CORBIN CT, Fort Myers, FL 33907

Other Identifiers 1

Medicare OSCAR/certification079238100

Accepted 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 10D2003353

Fort Myers Endoscopy Center LLC · Fort Myers, FL
Active · expires Feb 7, 2028
CLIA Number10D2003353
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 8, 2026
Certificate Expiration DateFebruary 7, 2028
Laboratory DirectorSuresh Chavakula
Laboratory Phone(239) 482-2280
Laboratory LocationFort Myers Endoscopy Center LLC5050 Mason Corbin Ct, Fort Myers, FL 33907
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Gastroenterology)
5050 MASON CORBIN CT
FORT MYERS, FL 33907
Internal Medicine (Gastroenterology)
5050 MASON CORBIN CT
FORT MYERS, FL 33907
Clinic/Center (Ambulatory Surgical)
5050 MASON CORBIN CT
FORT MYERS, FL 33907
Internal Medicine (Gastroenterology)
5050 MASON CORBIN CT
FORT MYERS, FL 33907
Specialist
5050 MASON CORBIN CT
FORT MYERS, FL 33907

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 Fort Myers Endoscopy Center LLC's NPI number?

The NPI number for Fort Myers Endoscopy Center LLC is 1730355595. It was assigned to this organization in the NPPES registry on May 1, 2008.

Where is Fort Myers Endoscopy Center LLC located?

Fort Myers Endoscopy Center LLC is located at 5050 Mason Corbin Ct, Fort Myers, FL 33907. The listed phone number is (239) 482-2281.

What is Fort Myers Endoscopy Center LLC's specialty?

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

Does Fort Myers Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2003353) is associated with this NPI, valid through February 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fort Myers Endoscopy Center LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Fort Myers 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 Fort Myers Endoscopy Center LLC was last updated on July 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.