SURGERY CENTER OF WEST MONROE LLC NPI 1386793370

NPI Information

SURGERY CENTER OF WEST MONROE, LLC is an ambulatory surgical clinic center in West Monroe, LA. SURGERY CENTER OF WEST MONROE, LLC NPI is 1386793370. The provider is registered as an organization entity type.

The provider's business location address is:

102 REGENCY PL
WEST MONROE, LA
ZIP 71291-452
Phone: (318) 322-4888
Fax: (318) 325-2610

The provider's authorized official is Raymond E Haik .
The authorized official title is Medical Director Owner and has the following contact phone number (318) 325-2610.

The CLIA number assigned to this NPI record is 19D0993750 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 5/6/2008.

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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