PREMIER ASC LLC NPI 1043072168

NPI Information

  • NPI: 1043072168
  • Provider Name: PREMIER ASC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 300 REGENT PARK CT
    GREENVILLE, SC
    ZIP 29607
  • Phone: (833) 365-7246

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NPI Details

PREMIER ASC LLC is an ambulatory surgical clinic center in Greenville, SC. PREMIER ASC LLC NPI is 1043072168. The provider is registered as an organization entity type.

The provider's business location address is:

300 REGENT PARK CT
GREENVILLE, SC
ZIP 29607-547
Phone: (833) 365-7246

The provider's authorized official is Javid Baksh .
The authorized official title is Owner and has the following contact phone number (845) 774-9778.

The enumeration date for this NPI number is 1/24/2024 and was last updated on 1/24/2024.

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: 11/21/2025

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