Bloomington Advanced Surgery Center

LBN: Bloomington Advanced Surgery Center, Llc
Bloomington Advanced Surgery Center is an health care organization with primary practice located at 445 S Landmark Ave , Bloomington IN 47403-5004. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Bloomington Advanced Surgery Center, Llc can be contacted via phone (708) 275-7799, or through Lackey, Wesley G via phone (317) 455-1064.

Contact Information

Primary practice address
445 S Landmark Ave Bloomington IN 47403-5004
Phone: (708) 275-7799
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lackey, Wesley G Doctor of Medicine (MD)
Phone: (317) 455-1064

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1467128819
LBN Legal business name Bloomington Advanced Surgery Center, Llc
DBA Doing business as Bloomington Advanced Surgery Center
Authorized official Lackey, Wesley G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2021
Last updated Aug 17th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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