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THE PENNSYLVANIA SURGERY AND LASER CENTER LLC NPI 1154787117


NPI Information

NPI: 1154787117
Provider Name: THE PENNSYLVANIA SURGERY AND LASER CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 39D2118553

Address:
601 FRANKLIN MILLS CIR
PHILADELPHIA, PA
ZIP 19154
Phone: (215) 821-3131
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THE PENNSYLVANIA SURGERY AND LASER CENTER LLC is an ambulatory surgical clinic center in Philadelphia, PA. THE PENNSYLVANIA SURGERY AND LASER CENTER LLC NPI is 1154787117. The provider is registered as an organization entity type.

The provider's business location address is:

601 FRANKLIN MILLS CIR
PHILADELPHIA, PA
ZIP 19154-124
Phone: (215) 821-3131

The provider's authorized official is Heather Rauch .
The authorized official title is Executive Director and has the following contact phone number (215) 821-3131.

The CLIA number assigned to this NPI record is 39D2118553 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2016 and was last updated on 4/21/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 11/14/2023

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