RUNNELS PLASTIC SURGERY CENTER LLC
NPI 1275780660
Clinic/Center - Ambulatory Surgical in Flowood, MS
About Runnels Plastic Surgery Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUNNELS PLASTIC SURGERY CENTER LLC (NPI 1275780660) is a healthcare organization registered as an ambulatory surgical in Flowood, Mississippi and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Rudolph Scott Runnels, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 25D1086365
Runnels Plastic Surgery Center LLC · Flowood, MSFrequently 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 Runnels Plastic Surgery Center LLC's NPI number?
The NPI number for Runnels Plastic Surgery Center LLC is 1275780660. It was assigned to this organization in the NPPES registry on August 27, 2008.
Where is Runnels Plastic Surgery Center LLC located?
Runnels Plastic Surgery Center LLC is located at 1057 River Oaks Drive, Flowood, MS 39232. The listed phone number is (601) 939-9778.
What is Runnels Plastic Surgery Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Runnels Plastic Surgery Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D1086365) is associated with this NPI, valid through July 9, 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 Runnels Plastic Surgery Center LLC was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Runnels Plastic Surgery Center Llc · NPI 1275780660
Ambulatory Surgical organization in Flowood, Mississippi. Organization record, active in the CMS NPPES registry since August 27, 2008.
## Identity
- **NPI:** 1275780660 (Entity type: Organization)
- **Enumerated:** August 27, 2008
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Rudolph Runnels, OWNER
## Practice location
- **Address:** 1057 RIVER OAKS DRIVE, Flowood, MS 39232-9595
- **Phone:** (601) 939-9778
## Record status
- **NPPES last updated:** August 27, 2008
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1275780660) · Data from the CMS NPPES public registry.