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

Endoscopy Center of St Louis

Organization Endoscopy Clinic/Center · NPI 1023094836

Endoscopy Center of St Louis is an Endoscopy Clinic/Center in Lake Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005

Practice location Address checks out

200 Brevco Plz Ste 207
Lake Saint Louis, MO 63367
Phone: (636) 561-5450
Fax: (636) 561-5451
Show map & directions

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

Specialties & licences

Endoscopy Clinic/Center (primary) Taxonomy 261QE0800X · Licence 152-0 (MO)

Record details

NPI number1023094836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Petersen — President · (636) 561-5450
NPI enumeratedDecember 22, 2005
Last updated in NPPESNovember 27, 2007
Mailing address200 Brevco Plz, Suite 207, Lake Saint Louis, MO 63367-2947