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ADVANCED SURGERY CENTER OF NORTHERN LOUISIANA LLC NPI 1104181247


NPI Information

NPI: 1104181247
Provider Name: ADVANCED SURGERY CENTER OF NORTHERN LOUISIANA LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 19D2057233

Address:
1601 LOUISVILLE AVE
MONROE, LA
ZIP 71201
Phone: (318) 272-2214
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ADVANCED SURGERY CENTER OF NORTHERN LOUISIANA LLC is an ambulatory surgical clinic center in Monroe, LA. ADVANCED SURGERY CENTER OF NORTHERN LOUISIANA LLC NPI is 1104181247. The provider is registered as an organization entity type.

The provider's business location address is:

1601 LOUISVILLE AVE
MONROE, LA
ZIP 71201
Phone: (318) 272-2214

The provider's authorized official is Brenda Wallace .
The authorized official title is Administrator and has the following contact phone number (318) 998-5555.

The CLIA number assigned to this NPI record is 19D2057233 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2012 and was last updated on 6/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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