CENTER FOR ADVANCED LAPAROSCOPIC AND BARIATRIC SURGERY LLC NPI 1447446992

NPI Information

NPI: 1447446992
Provider Name: CENTER FOR ADVANCED LAPAROSCOPIC AND BARIATRIC SURGERY, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
506 W 2ND ST
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 961-0370
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CENTER FOR ADVANCED LAPAROSCOPIC AND BARIATRIC SURGERY, LLC is an ambulatory surgical clinic center in Bloomington, IN. CENTER FOR ADVANCED LAPAROSCOPIC AND BARIATRIC SURGERY, LLC NPI is 1447446992. The provider is registered as an organization entity type.

The provider's business location address is:

506 W 2ND ST
BLOOMINGTON, IN
ZIP 47403-316
Phone: (812) 961-0370
Fax: (812) 330-9962

The provider's authorized official is James Bradley Ray .
The authorized official title is President and has the following contact phone number (812) 330-9962.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 11/9/2015.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	04046774A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	M300017337	MEDICARE UPIN	INDIANA

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: 11/14/2023

NPI Synchronization or Removal

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