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MID STATE SURGICAL CENTER, LLC
NPI 1245119924
Clinic/Center - Ambulatory Surgical in Alexandria, LA

Active since August 28, 2025CLIA 19D2343603 · Waiver
3443 PRESCOTT ROAD, ALEXANDRIA, LA 71301(318) 473-9556 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mid State Surgical Center, Llc NPPES

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

MID STATE SURGICAL CENTER, LLC (NPI 1245119924) is a healthcare organization registered as an ambulatory surgical in Alexandria, Louisiana and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Scott R Coleman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245119924
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMID STATE SURGICAL CENTER, LLC
Location Address3443 PRESCOTT ROADAlexandria, LA 71301
Mailing Address3444 Masonic DriveAlexandria, LA 71301 · (318) 473-9556 · Fax (318) 441-8339
Phone(318) 473-9556
Organization SubpartNo
Authorized OfficialScott R ColemanCeo · (318) 473-9556
Enumeration DateAugust 28, 2025
✔ NPI 1245119924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3443 PRESCOTT ROAD, Alexandria, LA 71301
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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 19D2343603

Mid State Surgical Center LLC · Alexandria, LA
Active · expires May 7, 2028
CLIA Number19D2343603
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorTimmothy R. Randell
Laboratory Phone(318) 229-7117
Laboratory LocationMid State Surgical Center LLC3443 Prescott Road, Alexandria, LA 71301
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 Mid State Surgical Center, LLC's NPI number?

The NPI number for Mid State Surgical Center, LLC is 1245119924. It was assigned to this organization in the NPPES registry on August 28, 2025.

Where is Mid State Surgical Center, LLC located?

Mid State Surgical Center, LLC is located at 3443 Prescott Road, Alexandria, LA 71301. The listed phone number is (318) 473-9556.

What is Mid State Surgical Center, LLC's specialty?

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

Does Mid State Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2343603) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mid State Surgical Center, LLC was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.