OrganizationActive
Endoscopy Center, LLC
NPI 1770502767 · Endoscopy Clinic/Center · Pocatello, ID
Provider details
- NPI number
- 1770502767
- Entity type
- Organization
- Primary specialty
- Endoscopy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Davis, Member(208) 232-6616
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1151 Hospital Way Bldg a
Pocatello, ID 83201-2763
Phone: (208) 232-6616
Fax: (208) 232-6618
Street-level locationGet directions
Mailing address
Po Box 4788
Pocatello, ID 83205-4788
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.