LAUREL SURGERY & ENDOSCOPY CENTER LLC NPI 1689605826

NPI Information

  • NPI: 1689605826
  • Provider Name: LAUREL SURGERY & ENDOSCOPY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 25D1019505
  • Address: 1710 W 12TH ST
    LAUREL, MS
    ZIP 39440
  • Phone: (601) 369-2021

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NPI Details

LAUREL SURGERY & ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Laurel, MS. LAUREL SURGERY & ENDOSCOPY CENTER, LLC NPI is 1689605826. The provider is registered as an organization entity type.

The provider's business location address is:

1710 W 12TH ST
LAUREL, MS
ZIP 39440-559
Phone: (601) 369-2021

The provider's authorized official is Lisa Bergin .
The authorized official title is Administrator and has the following contact phone number (601) 369-2021.

The CLIA number assigned to this NPI record is 25D1019505 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Dilation of esophagus (HCPCS:43450)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)
  • Incision of eardrum with placement of eardrum tube under general anesthesia (HCPCS:69436)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/18/2023.

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
1261QA1903XClinic/CenterAmbulatory Surgical025MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000050710OTHERMISSISSIPPIBLUE CROSS BLUE SHIELD
201357572MEDICAIDMISSISSIPPI

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: 11/21/2025

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