SPRING LAKE SURGERY CENTER LLC NPI 1457395493

NPI Information

  • NPI: 1457395493
  • Provider Name: SPRING LAKE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 19D2242527
  • Address: 8711 LINE AVENUE
    SHREVEPORT, LA
    ZIP 71106
  • Phone: (318) 841-4486

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NPI Details

SPRING LAKE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Shreveport, LA. SPRING LAKE SURGERY CENTER, LLC NPI is 1457395493. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8711 LINE AVENUE
SHREVEPORT, LA
ZIP 71106
Phone: (318) 841-4486
Fax: (318) 841-4489

The provider's authorized official is Kenneth W Sanders .
The authorized official title is Md and has the following contact phone number (318) 841-4486.

The CLIA number assigned to this NPI record is 19D2242527 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/16/2006 and was last updated on 3/6/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredNo
2261QA1903XClinic/CenterAmbulatory Surgical017152LOUISIANAYes

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: 3/30/2025

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