SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC
NPI 1033223367
Clinic/Center - Ambulatory Surgical in Tallahassee, FL

Active since August 17, 2006CLIA 10D1032076 · Waiver
2030 FLEISCHMANN RD, TALLAHASSEE, FL 32308(850) 219-2000(850) 877-2138 Get Directions Write a Review

NPPES record last updated: September 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeastern Outpatient Surgery Center Llc NPPES

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

SOUTHEASTERN OUTPATIENT SURGERY CENTER LLC (NPI 1033223367) is a healthcare organization registered as an ambulatory surgical in Tallahassee, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Ben J Kirbo, Owner President, as its authorized official.

NPPES Registry Identity

NPI1033223367
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTHEASTERN OUTPATIENT SURGERY CENTER LLC
Location Address2030 FLEISCHMANN RDTallahassee, FL 32308
Mailing Address2030 Fleischmann RdTallahassee, FL 32308 · (850) 219-2000 · Fax (850) 877-2138
Fax(850) 877-2138
Organization SubpartNo
Authorized OfficialBen J KirboOwner President · (850) 219-2000
Enumeration DateAugust 17, 2006
Last NPPES UpdateSeptember 11, 2014
NPI 1033223367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in FL · 1216
2030 FLEISCHMANN RD, Tallahassee, FL 32308

Accepted Insurance

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 10D1032076

Southeastern Outpatient Surgery Center · Tallahassee, FL
Active · expires Oct 17, 2026
CLIA Number10D1032076
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorBen J. Kirbo MD
Laboratory Phone(850) 219-2000
Laboratory LocationSoutheastern Outpatient Surgery Center2030 Fleischmann Rd, Tallahassee, FL 32308
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
2030 FLEISCHMANN RD
TALLAHASSEE, FL 32308
Nurse Anesthetist, Certified Registered
2030 FLEISCHMANN RD
TALLAHASSEE, FL 32308
Nurse Anesthetist, Certified Registered
2030 FLEISCHMANN RD
TALLAHASSEE, FL 32308
Plastic Surgery
2030 FLEISCHMANN RD, SOUTHEASTERN PLASTIC SURGERY
TALLAHASSEE, FL 32308
Nurse Anesthetist, Certified Registered
2030 FLEISCHMANN RD
TALLAHASSEE, FL 32308
Plastic Surgery
2030 FLEISCHMANN RD
TALLAHASSEE, FL 32308
Surgery (Plastic and Reconstructive Surgery)
2030 FLEISCHMANN RD
TALLAHASSEE, FL 32308
Physician Assistant
2030 FLEISCHMANN RD
TALLAHASSEE, FL 32308

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 Southeastern Outpatient Surgery Center LLC's NPI number?

The NPI number for Southeastern Outpatient Surgery Center LLC is 1033223367. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Southeastern Outpatient Surgery Center LLC located?

Southeastern Outpatient Surgery Center LLC is located at 2030 Fleischmann Rd, Tallahassee, FL 32308. The listed phone number is (850) 219-2000.

What is Southeastern Outpatient Surgery Center LLC's specialty?

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

Does Southeastern Outpatient Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1032076) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeastern Outpatient Surgery Center LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southeastern Outpatient Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeastern Outpatient Surgery Center LLC was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.