ADVANCED SURGERY CENTER OF NORTHERN LOUISIANA LLC
NPI 1104181247
Clinic/Center - Ambulatory Surgical in Monroe, LA

Active since July 04, 2012CLIA 19D2046779 · Waiver
1601 LOUISVILLE AVE, MONROE, LA 71201(318) 272-2214 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 29, 2026, Feb 25, 2025, Sep 18, 2024 (3 updates tracked since 2024).

About Advanced Surgery Center Of Northern Louisiana Llc NPPES

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

ADVANCED SURGERY CENTER OF NORTHERN LOUISIANA LLC (NPI 1104181247) is a healthcare organization registered as an ambulatory surgical in Monroe, Louisiana and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Peter Blach, Authorize Offical, as its authorized official.

NPPES Registry Identity

NPI1104181247
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADVANCED SURGERY CENTER OF NORTHERN LOUISIANA LLC
Location Address1601 LOUISVILLE AVEMonroe, LA 71201
Mailing Address1601 Louisville AveMonroe, LA 71201-6027 · (318) 998-5555
Organization SubpartNo
Authorized OfficialPeter BlachAuthorize Offical · (713) 343-0832
Enumeration DateJuly 4, 2012
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1104181247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1601 LOUISVILLE AVE, Monroe, LA 71201

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 19D2046779

Advanced Surgery Center Of Northern Louisiana · Monroe, LA
Active · expires Sep 11, 2026
CLIA Number19D2046779
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorMartin E. Degravelle
Laboratory Phone(318) 998-5555
Laboratory LocationAdvanced Surgery Center Of Northern Louisiana1601 Louisville Ave, Monroe, LA 71201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 27

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, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
3,863 services35 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.
332 services289 patients
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.
229 services145 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.
145 services44 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
114 services107 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.
81 services78 patients

Other Providers at the Same Location NPPES 3

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

Anesthesiology
1601 LOUISVILLE AVE
MONROE, LA 71201
Anesthesiology
1601 LOUISVILLE AVE
MONROE, LA 71201
Nurse Anesthetist, Certified Registered
1601 LOUISVILLE AVE
MONROE, LA 71201

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 Advanced Surgery Center Of Northern Louisiana LLC's NPI number?

The NPI number for Advanced Surgery Center Of Northern Louisiana LLC is 1104181247. It was assigned to this organization in the NPPES registry on July 4, 2012.

Where is Advanced Surgery Center Of Northern Louisiana LLC located?

Advanced Surgery Center Of Northern Louisiana LLC is located at 1601 Louisville Ave, Monroe, LA 71201. The listed phone number is (318) 272-2214.

What is Advanced Surgery Center Of Northern Louisiana LLC's specialty?

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

Does Advanced Surgery Center Of Northern Louisiana LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2046779) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Surgery Center Of Northern Louisiana LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Advanced Surgery Center Of Northern Louisiana 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 Advanced Surgery Center Of Northern Louisiana LLC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.