RADIANCE-A PRIVATE OUTPATIENT SURGERY CENTER LLC NPI 1770599136

NPI Information

NPI: 1770599136
Provider Name: RADIANCE-A PRIVATE OUTPATIENT SURGERY CENTER LLC

Other Name: RADIANCE SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
701 BOYCE RD
BRIDGEVILLE, PA
ZIP 15017
Phone: (412) 220-2336
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RADIANCE-A PRIVATE OUTPATIENT SURGERY CENTER LLC is an ambulatory surgical clinic center in Bridgeville, PA. RADIANCE-A PRIVATE OUTPATIENT SURGERY CENTER LLC NPI is 1770599136. The provider is registered as an organization entity type.
The provider Other Name Is Radiance Surgery Center.

The provider's business location address is:

701 BOYCE RD
BRIDGEVILLE, PA
ZIP 15017-225
Phone: (412) 220-2336
Fax: (412) 220-2279

The provider's authorized official is Sudhir Rao .
The authorized official title is President/ceo and has the following contact phone number (412) 220-2336.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 6/3/2022.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	1760	PENNSYLVANIA	Yes

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
1	0253	OTHER	PENNSYLVANIA	BLUE SHIELD BLUE CROSS
2	102775173 001	MEDICAID	PENNSYLVANIA
3	261596	OTHER	PENNSYLVANIA	HEALTH AMERICA

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: 5/5/2024

NPI Synchronization or Removal

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