OLIVE AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Saint Louis, MO. OLIVE AMBULATORY SURGERY CENTER, LLC NPI is 1588739858. The provider is registered as an organization entity type.
The provider Is Doing Business As Olive Surgery Center.
The provider's business location address is:
12101 WOODCREST EXECUTIVE DR
STE 101
SAINT LOUIS, MO
ZIP 63141-047
Phone: (314) 576-4500
Fax: (314) 576-4503
The provider's authorized official is Jenetha D Moran .
The authorized official title is Officer / Authorized Official and has the following contact phone number (972) 763-3893.
The CLIA number assigned to this NPI record is 26D2099712 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/22/2006 and was last updated on 1/5/2017.