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GLENEAGLES SURGERY CENTER, LLC
NPI 1255000329
Clinic/Center - Ambulatory Surgical in Plano, TX

Active since September 10, 2021CLIA 45D2290024 · Waiver
2633 DALLAS PKWY STE 100, PLANO, TX 75093(972) 403-7733(972) 403-7744 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gleneagles Surgery Center, Llc NPPES

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

GLENEAGLES SURGERY CENTER, LLC (NPI 1255000329) is a healthcare organization registered as an ambulatory surgical in Plano, Texas and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Jeremiah A Graff, Dpm, as its authorized official.

NPPES Registry Identity

NPI1255000329
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGLENEAGLES SURGERY CENTER, LLC
Location Address2633 DALLAS PKWY STE 100Plano, TX 75093-4715
Mailing Address2633 Dallas Pkwy Ste 100Plano, TX 75093-4715 · (972) 403-7733 · Fax (972) 403-7744
Phone(972) 403-7733
Fax(972) 403-7744
Organization SubpartNo
Authorized OfficialJeremiah A GraffDpm · (142) 205-1078
Enumeration DateSeptember 10, 2021
NPPES CertifiedSeptember 10, 2021
✔ NPI 1255000329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2633 DALLAS PKWY STE 100, Plano, TX 75093
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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 45D2290024

Gleneagles Surgery Center Inc · Plano, TX
Active · expires Sep 18, 2027
CLIA Number45D2290024
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorJeremiah Graff
Laboratory Phone(972) 403-7733
Laboratory LocationGleneagles Surgery Center Inc2633 Dallas Pkwy Ste 202, Plano, TX 75093
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

WILLOWBEND VASCULAR SERVICES LLC
Clinic/Center
2633 DALLAS PKWY STE 100
PLANO, TX 75093
Collin County (972) 947-2447
SPINE EXPOSURE ASSOCIATES, PLLC
Surgery (Vascular Surgery)
2633 DALLAS PKWY STE 100
PLANO, TX 75093
Collin County (469) 562-1992
DR. THERESA HT NGUYEN DPM
Podiatrist (Primary Podiatric Medicine)
2633 DALLAS PKWY STE 100
PLANO, TX 75093
Collin County (972) 403-7733
BILAL MASTER DPM
Podiatrist (Foot & Ankle Surgery)
2633 DALLAS PKWY STE 100
PLANO, TX 75093
Collin County (972) 403-7733

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 Gleneagles Surgery Center, LLC's NPI number?

The NPI number for Gleneagles Surgery Center, LLC is 1255000329. It was assigned to this organization in the NPPES registry on September 10, 2021.

Where is Gleneagles Surgery Center, LLC located?

Gleneagles Surgery Center, LLC is located at 2633 Dallas Pkwy Ste 100, Plano, TX 75093. The listed phone number is (972) 403-7733.

What is Gleneagles Surgery Center, LLC's specialty?

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

Does Gleneagles Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2290024) is associated with this NPI, valid through September 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gleneagles Surgery Center, LLC was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.