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AMBULATORY SURGERY CENTER OF BALA CYNWYD, LLC
NPI 1306434998
Clinic/Center - Ambulatory Surgical in Bala Cynwyd, PA

Active since January 08, 2021CLIA 39D2247208 · Waiver
100 PRESIDENTIAL BLVD FL 4, BALA CYNWYD, PA 19004(407) 960-7990(321) 972-4252 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ambulatory Surgery Center Of Bala Cynwyd, Llc NPPES

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

AMBULATORY SURGERY CENTER OF BALA CYNWYD, LLC (NPI 1306434998) is a healthcare organization registered as an ambulatory surgical in Bala Cynwyd, Pennsylvania and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Michael Thomas Tricoli, Counsel, as its authorized official.

NPPES Registry Identity

NPI1306434998
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAMBULATORY SURGERY CENTER OF BALA CYNWYD, LLC
Location Address100 PRESIDENTIAL BLVD FL 4Bala Cynwyd, PA 19004-1108
Mailing Address660 Palm Springs Dr Ste CAltamonte Springs, FL 32701-7864 · (407) 960-7990 · Fax (321) 972-4252
Phone(407) 960-7990
Fax(321) 972-4252
Organization SubpartNo
Authorized OfficialMichael Thomas TricoliCounsel · (407) 947-3084
Enumeration DateJanuary 8, 2021
NPPES CertifiedJanuary 8, 2021
✔ NPI 1306434998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
100 PRESIDENTIAL BLVD FL 4, Bala Cynwyd, PA 19004
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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 39D2247208

Ambulatory Surgery Center Of Bala Cynwyd · Bala Cynwyd, PA
Active · expires Jan 4, 2028
CLIA Number39D2247208
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorDr. Scott S. Katzman
Laboratory Phone(850) 598-0941
Laboratory LocationAmbulatory Surgery Center Of Bala Cynwyd100 Presidential Blvd Floor 4, Bala Cynwyd, PA 19004
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
14 services14 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 Ambulatory Surgery Center Of Bala Cynwyd, LLC's NPI number?

The NPI number for Ambulatory Surgery Center Of Bala Cynwyd, LLC is 1306434998. It was assigned to this organization in the NPPES registry on January 8, 2021.

Where is Ambulatory Surgery Center Of Bala Cynwyd, LLC located?

Ambulatory Surgery Center Of Bala Cynwyd, LLC is located at 100 Presidential Blvd Fl 4, Bala Cynwyd, PA 19004. The listed phone number is (407) 960-7990.

What is Ambulatory Surgery Center Of Bala Cynwyd, LLC's specialty?

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

Does Ambulatory Surgery Center Of Bala Cynwyd, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2247208) is associated with this NPI, valid through January 4, 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 Ambulatory Surgery Center Of Bala Cynwyd, LLC was last updated on January 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.