SURGERY CENTERS OF IOWA LLC
NPI 1164276374
Clinic/Center - Ambulatory Surgical in Des Moines, IA

Active since April 15, 2024CLIA 16D2303730 · Waiver
717 LYON ST, DES MOINES, IA 50309(515) 250-5554 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Surgery Centers Of Iowa Llc NPPES

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

SURGERY CENTERS OF IOWA LLC (NPI 1164276374) is a healthcare organization registered as an ambulatory surgical in Des Moines, Iowa and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Trevor T Wild, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164276374
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTERS OF IOWA LLC
Location Address717 LYON STDes Moines, IA 50309-5458
Mailing Address717 Lyon StDes Moines, IA 50309-5458
Organization SubpartNo
Authorized OfficialTrevor T WildAuthorized Official · (515) 250-5554
Enumeration DateApril 15, 2024
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
NPI 1164276374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
717 LYON ST, Des Moines, IA 50309

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 16D2303730

Surgery Centers Of Iowa · Des Moines, IA
Active · expires Apr 29, 2028
CLIA Number16D2303730
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorKimberly K. Utterback
Laboratory Phone(515) 250-5554
Laboratory LocationSurgery Centers Of Iowa717 Lyon St, Des Moines, IA 50309
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 2

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

Anesthesiology (Pain Medicine)
717 LYON ST
DES MOINES, IA 50309
Clinic/Center (Ambulatory Surgical)
717 LYON ST
DES MOINES, IA 50309

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 Surgery Centers Of Iowa LLC's NPI number?

The NPI number for Surgery Centers Of Iowa LLC is 1164276374. It was assigned to this organization in the NPPES registry on April 15, 2024.

Where is Surgery Centers Of Iowa LLC located?

Surgery Centers Of Iowa LLC is located at 717 Lyon St, Des Moines, IA 50309. The listed phone number is (515) 250-5554.

What is Surgery Centers Of Iowa LLC's specialty?

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

Does Surgery Centers Of Iowa LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2303730) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Centers Of Iowa LLC accept?

Health plans from Medica list Surgery Centers Of Iowa 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 Surgery Centers Of Iowa LLC was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.