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ASC NORTHWEST LLC
NPI 1033712781
Clinic/Center - Ambulatory Surgical in Coeur D Alene, ID

Active since November 17, 2020CLIA 13D2234793 · Waiver
850 W IRONWOOD DR STE B-101, COEUR D ALENE, ID 83814(208) 667-1376 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2021, Nov 17, 2020 (2 updates tracked since 2020).

About Asc Northwest Llc NPPES

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

ASC NORTHWEST LLC (NPI 1033712781) is a healthcare organization registered as an ambulatory surgical in Coeur D Alene, Idaho and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Kellie Carter, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1033712781
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameASC NORTHWEST LLC
Location Address850 W IRONWOOD DR STE B-101Coeur D Alene, ID 83814-4903
Mailing Address850 W Ironwood Dr Ste B-101Coeur D Alene, ID 83814-4903 · (208) 667-1376
Phone(208) 667-1376
Organization SubpartNo
Authorized OfficialKellie CarterPractice Manager · (208) 667-1376
Enumeration DateNovember 17, 2020
Last NPPES UpdateApril 12, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1033712781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
850 W IRONWOOD DR STE B-101, Coeur D Alene, ID 83814
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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 13D2234793

ASC Northwest · Coeur D'alene, ID
Active · expires Sep 1, 2027
CLIA Number13D2234793
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorDouglas Blaty
Laboratory Phone(208) 667-1376
Laboratory LocationASC Northwest850 W Ironwood Dr Ste 300, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
469 services240 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
327 services153 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
67 services24 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
36 services32 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
20 services18 patients

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 ASC Northwest LLC's NPI number?

The NPI number for ASC Northwest LLC is 1033712781. It was assigned to this organization in the NPPES registry on November 17, 2020.

Where is ASC Northwest LLC located?

ASC Northwest LLC is located at 850 W Ironwood Dr Ste B-101, Coeur D Alene, ID 83814. The listed phone number is (208) 667-1376.

What is ASC Northwest LLC's specialty?

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

Does ASC Northwest LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2234793) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does ASC Northwest LLC accept?

Health plans from Providence Health Plan list ASC Northwest 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 ASC Northwest LLC was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.