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PRINTED: 01/25/2013 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Bloomington Endoscopy Center LLC is a medical facility specializing in endoscopic procedures.
The owners or managers of Bloomington Endoscopy Center LLC are required to file the necessary paperwork.
To fill out Bloomington Endoscopy Center LLC documents, you need to provide accurate information about the business, its owners, and financial details.
The purpose of Bloomington Endoscopy Center LLC is to provide medical services and procedures related to endoscopy.
Information such as business details, ownership structure, financial reports, and compliance with medical regulations must be reported on Bloomington Endoscopy Center LLC documents.
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