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KELSEY-SEYBOLD ASC SPRINGWOODS VILLAGE
NPI 1124894423
Clinic/Center - Ambulatory Surgical in Spring, TX

Active since November 28, 2023CLIA Certified · 4 labs
22407 HOLZWARTH ROAD, SPRING, TX 77389(346) 674-4000 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey-seybold Asc Springwoods Village NPPES

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

KELSEY-SEYBOLD ASC SPRINGWOODS VILLAGE (NPI 1124894423) is a healthcare organization registered as an ambulatory surgical in Spring, Texas and active in the NPI registry since November 2023. The organization holds 4 active CLIA laboratory certificates and lists Julie Burch Garcia, Sr Director, Revenue Cycle Mgmt, as its authorized official.

NPPES Registry Identity

NPI1124894423
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKS SC LLC
Location Address22407 HOLZWARTH ROADSpring, TX 77389-1917
Mailing Address11511 Shadow Creek Pkwy, Central Business Office (asc)Pearland, TX 77584-7298 · (713) 442-5669 · Fax (713) 442-2760
Phone(346) 674-4000
Organization SubpartYesParent: Kelsey-seybold Medical Group, Pllc
Authorized OfficialJulie Burch GarciaSr Director, Revenue Cycle Mgmt · (713) 442-5027
Enumeration DateNovember 28, 2023
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1124894423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
22407 HOLZWARTH ROAD, Spring, TX 77389
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Other Names 1

Doing Business AsKelsey-seybold Asc Springwoods Village

CLIA Laboratory Certificates CMS CLIA 4

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 Compliance 45D2291463

Kelsey-Seybold Clinicsspngwds Vlg Derm & Ap · Spring, TX
Active · expires Feb 7, 2028
CLIA Number45D2291463
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 8, 2026
Certificate Expiration DateFebruary 7, 2028
Laboratory DirectorMohsin Mir MD
Laboratory Phone(346) 674-4000
Laboratory LocationKelsey-Seybold Clinicsspngwds Vlg Derm & Ap22407 Holzwarth Road, Spring, TX 77389
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 45D2287752

Kelsey-Seybold Springwoods Village Clinic · Spring, TX
Active · expires Aug 16, 2027
CLIA Number45D2287752
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorSrikanth Katragadda
Laboratory Phone(346) 674-4000
Laboratory LocationKelsey-Seybold Springwoods Village Clinic22407 Holzwarth, Spring, TX 77389
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2288618

Kelsey-Seybold Clinic Springwoods Village Campus ASC · Spring, TX
Active · expires Mar 24, 2028
CLIA Number45D2288618
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorDr. Joel D. Thibodeaux
Laboratory Phone(713) 442-0999
Laboratory LocationKelsey-Seybold Clinic Springwoods Village Campus ASC22407 Holzwarth, Spring, TX 77389
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 45D2291408

Kelsey-Seybold Clinics/Springwoods Village Lab · Spring, TX
Active · expires Mar 7, 2028
CLIA Number45D2291408
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorEthan Stoll Do
Laboratory Phone(713) 442-4665
Laboratory LocationKelsey-Seybold Clinics/Springwoods Village Lab22407 Holzwarth Road, Spring, TX 77389
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Ks Sc LLC's NPI number?

The NPI number for Ks Sc LLC is 1124894423. It was assigned to this organization in the NPPES registry on November 28, 2023. The provider is doing business as Kelsey-Seybold ASC Springwoods Village.

Where is Ks Sc LLC located?

Ks Sc LLC is located at 22407 Holzwarth Road, Spring, TX 77389. The listed phone number is (346) 674-4000.

What is Ks Sc LLC's specialty?

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

Does Ks Sc LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ks Sc LLC was last updated on May 21, 2024. 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.