P Praxis·MD
● Active Type 2 · Organization

Pcs Endoscopy Suite

Clinic/Center·Pocatello, ID· NPI 1831265321 · Enumerated 2006 · 19 years on NPI
Pcs Endoscopy Suite is 1 of 99 clinic/center organizations in Idaho.
NPI age
19 years
Enumerated 2006-11-27
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mansfield
President
Last NPPES update
2012-09-18
Source: monthly bulk 2026-05

How this organization compares

Across 99 active clinic/center providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
110 Vista Drive
Pocatello, ID 832014835
📞 2082340024
Mailing address
110 Vista Drive
Pocatello, ID 832014835
📞 2082340024

Authorized official

Mark L. Mansfield, MD
President
📞 2082340024

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA1903X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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