LAGRANGE SURGERY CENTER LLC NPI 1235372277

NPI Information

NPI: 1235372277
Provider Name: LAGRANGE SURGERY CENTER, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2500 VENTURA WAY
LAGRANGE, IN
ZIP 46761
Phone: (574) 296-6452
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LAGRANGE SURGERY CENTER, LLC is a multi-specialty clinic center in Lagrange, IN. LAGRANGE SURGERY CENTER, LLC NPI is 1235372277. The provider is registered as an organization entity type.

The provider's business location address is:

2500 VENTURA WAY
LAGRANGE, IN
ZIP 46761
Phone: (574) 296-6452
Fax: (574) 296-6484

The provider's authorized official is Haroon Ansari-naz .
The authorized official title is Executive Director/vice President and has the following contact phone number (517) 202-7174.

The enumeration date for this NPI number is 4/7/2009 and was last updated on 4/7/2009.

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	261QM1300X	Clinic/Center	Multi-Specialty			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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