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APOLLO SURGERY CENTER LLC
NPI 1174258602
Clinic/Center - Ambulatory Surgical in Lancaster, CA

Active since July 19, 2022CLIA 05D2273457 · Waiver
43944 15TH STREET W, SUITE 101, LANCASTER, CA 93534(661) 579-4700 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2022, Jul 19, 2022 (2 updates tracked since 2022).

About Apollo Surgery Center Llc NPPES

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

APOLLO SURGERY CENTER LLC (NPI 1174258602) is a healthcare organization registered as an ambulatory surgical in Lancaster, California and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Vivaik Tyagi, Chairman, Governing Body, as its authorized official.

NPPES Registry Identity

NPI1174258602
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAPOLLO SURGERY CENTER LLC
Location Address43944 15TH STREET W, SUITE 101Lancaster, CA 93534
Mailing Address43944 15th Street W, Suite 101Lancaster, CA 93534 · (661) 579-4700
Phone(661) 579-4700
Organization SubpartNo
Authorized OfficialVivaik TyagiChairman, Governing Body · (661) 579-4700
Enumeration DateJuly 19, 2022
Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1174258602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
43944 15TH STREET W, Lancaster, CA 93534
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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 05D2273457

Apollo Surgery Center · Lancaster, CA
Active · expires Dec 12, 2026
CLIA Number05D2273457
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorKumaravel Perumalsamy
Laboratory Phone(661) 579-4700
Laboratory LocationApollo Surgery Center43944 15th St W, Lancaster, CA 93534
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 10

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
806 services737 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
544 services542 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
539 services533 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
220 services194 patients
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251
This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.
171 services163 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
45 services45 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 Apollo Surgery Center LLC's NPI number?

The NPI number for Apollo Surgery Center LLC is 1174258602. It was assigned to this organization in the NPPES registry on July 19, 2022.

Where is Apollo Surgery Center LLC located?

Apollo Surgery Center LLC is located at 43944 15th Street W Suite 101, Lancaster, CA 93534. The listed phone number is (661) 579-4700.

What is Apollo Surgery Center LLC's specialty?

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

Does Apollo Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2273457) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Apollo Surgery Center LLC was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.