AMBULATORY SURGERY CENTER OF CENTRALIA, LLC is a clinic center in Centralia, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AMBULATORY SURGERY CENTER OF CENTRALIA, LLC NPI is 1265495824. The provider is registered as an organization entity type.
The provider Is Doing Business As The Surgery Center Of Centralia.
The provider's business location address is:
1045 MARTIN LUTHER KING DR
CENTRALIA, IL
ZIP 62801-001
Phone: (618) 532-3110
Fax: (618) 532-3110
The provider's authorized official is Udaya Liyanage .
The authorized official title is President and has the following contact phone number (618) 899-9200.
The CLIA number assigned to this NPI record is 15D1046650 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/6/2006 and was last updated on 2/5/2024.