Active NPI
Quadrangle Endoscopy Center, Inc.
- Endoscopy Clinic/Center
- Greenville, NC
National Provider Identifier
1184673378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- License
- NC AP 00000583
- Legal business name
- QUADRANGLE ENDOSCOPY CENTER, INC.
- Practice address
- 1850 W Arlington Blvd
Greenville, NC 27834-5704 - Phone
- (252) 752-6101
- Fax
- (252) 752-6600
- NPI assigned
- May 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan M Eckert
- Title
- Credentialing Specialist
- Phone
- (252) 413-6740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endoscopy Clinic/Center | 261QE0800X | NC AP 00000583 | NC | Primary |
Addresses
Primary practice location
1850 W Arlington Blvd
Greenville, NC 27834-5704
Mailing address
1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 752-6101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100210000723 | NC | Part B Supplier - Ambulatory Surgical Center | 3971646175 | Practice locations: Greenville, NC |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Quadrangle Endoscopy Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0937250 | Quadrangle Endoscopy Center | Certificate of waiver | Dec 14, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Greenville, NC
- NPI 1326351164
-
- Internal Medicine Physician
- Greenville, NC
- NPI 1184628851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267401600000",
"number": "1184673378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704",
"telephone_number": "252-752-6101",
"fax_number": "252-752-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704",
"telephone_number": "252-752-6101",
"fax_number": "252-752-6600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUADRANGLE ENDOSCOPY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2010-03-01",
"status": "A",
"authorized_official_last_name": "ECKERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "252-413-6740",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QE0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Endoscopy",
"state": "NC",
"license": "NC AP 00000583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.