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PCASC, LLC
NPI 1013890813
Clinic/Center - Ambulatory Surgical in Platte City, MO

Active since July 29, 2025CLIA 26D2339675 · Waiver
1101 KENTUCKY AVENUE, PLATTE CITY, MO 64079(816) 232-1049 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pcasc, Llc NPPES

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

PCASC, LLC (NPI 1013890813), doing business as Surgery Center Of The Northland, is a healthcare organization registered as an ambulatory surgical in Platte City, Missouri and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Blake Peterson, Member, as its authorized official.

NPPES Registry Identity

NPI1013890813
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePCASC, LLC
Location Address1101 KENTUCKY AVENUEPlatte City, MO 64079
Mailing Address1101 Kentucky AvenuePlatte City, MO 64079 · (816) 232-1049
Phone(816) 232-1049
Organization SubpartNo
Authorized OfficialBlake PetersonMember · (816) 232-1049
Enumeration DateJuly 29, 2025
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1013890813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1101 KENTUCKY AVENUE, Platte City, MO 64079
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Other Names 1

Doing Business AsSurgery Center Of The Northland

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 26D2339675

Pcasc, LLC Dba Surgery Center Of The Northland · Platte City, MO
Active · expires Mar 4, 2028
CLIA Number26D2339675
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorBlake E. Peterson
Laboratory Phone(816) 422-5980
Laboratory LocationPcasc, LLC Dba Surgery Center Of The Northland1101 Kentucky Ave, Platte City, MO 64079
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is PCASC, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1013890813, enumerated as an "organization" on July 29, 2025.

Where is the provider located?

The provider is located at 1101 KENTUCKY AVENUE PLATTE CITY, MO 64079 and the phone number is (816) 232-1049.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.