MAIN LINE SURGERY CENTER LLC NPI 1184678682

NPI Information

NPI: 1184678682
Provider Name: MAIN LINE SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 39D1017998

Address:
10 PRESIDENTIAL BLVD
SUITE 200
BALA CYNWYD, PA
ZIP 19004
Phone: (610) 660-9066
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MAIN LINE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bala Cynwyd, PA. MAIN LINE SURGERY CENTER, LLC NPI is 1184678682. The provider is registered as an organization entity type.

The provider's business location address is:

10 PRESIDENTIAL BLVD
SUITE 200
BALA CYNWYD, PA
ZIP 19004-107
Phone: (610) 660-9066
Fax: (610) 949-9069

The provider's authorized official is Anne Barrett Sternberg .
The authorized official title is Administrator and has the following contact phone number (610) 660-8437.

The CLIA number assigned to this NPI record is 39D1017998 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 4/16/2024.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	10321500	PENNSYLVANIA	Yes

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

NPI Synchronization or Removal

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