MIDWEST SURGERY CENTER, LLC
NPI 1003171745
Clinic/Center - Ambulatory Surgical in Cape Girardeau, MO

Active since July 09, 2012CLIA 26D2050350 · Waiver
65 DOCTORS PARK, SUITE B, CAPE GIRARDEAU, MO 63703(573) 803-2007 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Midwest Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST SURGERY CENTER, LLC (NPI 1003171745) is a healthcare organization registered as an ambulatory surgical in Cape Girardeau, Missouri and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Sonjay Joseph Fonn, Owner, as its authorized official.

NPPES Registry Identity

NPI1003171745
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMIDWEST SURGERY CENTER, LLC
Location Address65 DOCTORS PARK, SUITE BCape Girardeau, MO 63703-4927
Mailing AddressPo Box 614Cape Girardeau, MO 63702-0614 · (573) 651-1687 · Fax (573) 651-8734
Organization SubpartNo
Authorized OfficialSonjay Joseph FonnOwner · (573) 651-1687
Enumeration DateJuly 9, 2012
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedAugust 4, 2020
NPI 1003171745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
65 DOCTORS PARK, Cape Girardeau, MO 63703

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2050350

Midwest Surgery Center, LLC · Cape Girardeau, MO
Active · expires Aug 28, 2027
CLIA Number26D2050350
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorSonjay J. Fonn
Laboratory Phone(573) 803-2420
Laboratory LocationMidwest Surgery Center, LLC65 Doctors Park Drive, Suite B, Cape Girardeau, MO 63703
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Midwest Surgery Center, LLC's NPI number?

The NPI number for Midwest Surgery Center, LLC is 1003171745. It was assigned to this organization in the NPPES registry on July 9, 2012.

Where is Midwest Surgery Center, LLC located?

Midwest Surgery Center, LLC is located at 65 Doctors Park Suite B, Cape Girardeau, MO 63703. The listed phone number is (573) 803-2007.

What is Midwest Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Midwest Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2050350) is associated with this NPI, valid through August 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Midwest Surgery Center, LLC was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.