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PRINTED 02/02/2016 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION X1 PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER 15C0001143 OMB NO. 0938-0391 X2 MULTIPLE CONSTRUCTION A. BUILDING 01 - MERIDIAN ENDOSCOPY WEST B. WING NAME OF PROVIDER OR SUPPLIER 11/04/2015 STREET ADDRESS CITY STATE ZIP CODE 1115 N RONALD REAGAN PKWY STE 347 INDIANA ENDOSCOPY CENTERS X4 ID PREFIX TAG X3 DATE SURVEY COMPLETED AVON IN...
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Building 01 - meridian is a commercial office space located in downtown area.
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The purpose of building 01 - meridian is to collect data on commercial occupancy and usage for city planning and development purposes.
Tenants must report square footage used, type of business, number of employees, contact information, and any changes in occupancy.
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