SPINE CENTER OF EXCELLENCE LLC NPI 1871235770

NPI Information

  • NPI: 1871235770
  • Provider Name: SPINE CENTER OF EXCELLENCE LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 19D2276910
  • Address: 411 COLEMAN AVENUE
    BOSSIER CITY, LA
    ZIP 71111
  • Phone: (318) 585-2000

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NPI Details

SPINE CENTER OF EXCELLENCE LLC is an ambulatory surgical clinic center in Bossier City, LA. SPINE CENTER OF EXCELLENCE LLC NPI is 1871235770. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

411 COLEMAN AVENUE
BOSSIER CITY, LA
ZIP 71111
Phone: (318) 585-2000
Fax: (318) 585-0360

The provider's authorized official is Pierce D Nunley .
The authorized official title is Director/managing Member and has the following contact phone number (318) 585-2000.

The CLIA number assigned to this NPI record is 19D2276910 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2022 and was last updated on 2/6/2025.

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 SurgicalYes

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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