DOCTORS OUTPATIENT SURGERY CENTER LLC NPI 1104858513

NPI Information

DOCTORS OUTPATIENT SURGERY CENTER LLC is an ambulatory surgical clinic center in Lafayette, LA. DOCTORS OUTPATIENT SURGERY CENTER LLC NPI is 1104858513. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgery Center.

The provider's business location address is:

1101 S COLLEGE RD
SUITE 100
LAFAYETTE, LA
ZIP 70503-038
Phone: (337) 233-8603
Fax: (337) 234-0341

The provider's authorized official is Kim G Porche .
The authorized official title is Business Office Manager and has the following contact phone number (337) 233-8603.

The CLIA number assigned to this NPI record is 19D2108965 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 12/8/2017.

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:

Other Identifiers

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