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LIBERTY CORNER SURGICAL CENTER AT MARLTON LLC
NPI 1235692120
Clinic/Center - Ambulatory Surgical in Marlton, NJ

Active since April 09, 2019CLIA Certified · 2 labs
95 MARLTON PIKE WEST, MARLTON, NJ 08053(973) 871-1229 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liberty Corner Surgical Center At Marlton Llc NPPES

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

LIBERTY CORNER SURGICAL CENTER AT MARLTON LLC (NPI 1235692120) is a healthcare organization registered as an ambulatory surgical in Marlton, New Jersey and active in the NPI registry since April 2019. The organization holds 2 active CLIA laboratory certificates and lists Richard Scott, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235692120
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLIBERTY CORNER SURGICAL CENTER AT MARLTON LLC
Location Address95 MARLTON PIKE WESTMarlton, NJ 08053
Mailing Address140 Allen RdBasking Ridge, NJ 07920-2976
Phone(973) 871-1229
Organization SubpartNo
Authorized OfficialRichard ScottCeo · (973) 656-2840
Enumeration DateApril 9, 2019
Last NPPES UpdateApril 10, 2019
✔ NPI 1235692120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
95 MARLTON PIKE WEST, Marlton, NJ 08053
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CLIA Laboratory Certificates CMS CLIA 2

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 31D2175713

Liberty Corner Surgical Center At Marlton · Marlton, NJ
Active · expires Nov 26, 2027
CLIA Number31D2175713
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 27, 2025
Certificate Expiration DateNovember 26, 2027
Laboratory DirectorJason Franasiak
Laboratory Phone(973) 871-2576
Laboratory LocationLiberty Corner Surgical Center At Marlton95 Marlton Pike West, Marlton, NJ 08053
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D2175654

Liberty Corner Surgical Center · Basking Ridge, NJ
Active · expires Nov 25, 2027
CLIA Number31D2175654
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 26, 2025
Certificate Expiration DateNovember 25, 2027
Laboratory DirectorMarcy Maguire
Laboratory Phone(973) 656-2828
Laboratory LocationLiberty Corner Surgical Center140 Allen Road, Basking Ridge, NJ 07920
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Liberty Corner Surgical Center At Marlton LLC's NPI number?

The NPI number for Liberty Corner Surgical Center At Marlton LLC is 1235692120. It was assigned to this organization in the NPPES registry on April 9, 2019.

Where is Liberty Corner Surgical Center At Marlton LLC located?

Liberty Corner Surgical Center At Marlton LLC is located at 95 Marlton Pike West, Marlton, NJ 08053. The listed phone number is (973) 871-1229.

What is Liberty Corner Surgical Center At Marlton LLC's specialty?

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

Does Liberty Corner Surgical Center At Marlton LLC hold CLIA laboratory certificates?

Yes. 2 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 Liberty Corner Surgical Center At Marlton LLC was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.