Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boise Endoscopy Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1114912102

Boise Endoscopy Center LLC is an Ambulatory Surgical Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

425 W Bannock St
Boise, ID 83702-6035
Phone: (208) 342-7169
Fax: (208) 368-0863
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 1870273 (ID)

Record details

NPI number1114912102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Lockwood — Authorized Official · (208) 342-7169
NPI enumeratedSeptember 15, 2005
Last updated in NPPESApril 18, 2026
Certification dateApril 18, 2026
Mailing address425 W Bannock St, Boise, ID 83702-6035

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