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ST. LOUIS CHILDREN'S SURGERY CENTER, LLC
NPI 1316620933
Clinic/Center - Ambulatory Surgical in Bridgeton, MO

Active since August 10, 2023CLIA 26D2294347 · Waiver
12184 NATURAL BRIDGE RD # 90, BRIDGETON, MO 63044(314) 391-4936(314) 474-0191 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St. Louis Children's Surgery Center, Llc NPPES

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

ST. LOUIS CHILDREN'S SURGERY CENTER, LLC (NPI 1316620933) is a healthcare organization registered as an ambulatory surgical in Bridgeton, Missouri and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Devin Larsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316620933
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameST. LOUIS CHILDREN'S SURGERY CENTER, LLC
Location Address12184 NATURAL BRIDGE RD # 90Bridgeton, MO 63044-2017
Mailing Address9709 Lakeside Blvd Ste 350Spring, TX 77381-1213 · (713) 489-2198 · Fax (713) 489-2978
Phone(314) 391-4936
Fax(314) 474-0191
Organization SubpartNo
Authorized OfficialDevin LarsenCeo · (208) 340-1840
Enumeration DateAugust 10, 2023
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1316620933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12184 NATURAL BRIDGE RD # 90, Bridgeton, MO 63044
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 26D2294347

St Louis Childrens Surgery Center LLC · Bridgeton, MO
Active · expires Nov 21, 2027
CLIA Number26D2294347
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorJamie Heater
Laboratory Phone(314) 254-1382
Laboratory LocationSt Louis Childrens Surgery Center LLC12184 Natural Bridge Road, Bridgeton, MO 63044
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BLUE CLOUD ANESTHESIA, LLC
Anesthesiology
12184 NATURAL BRIDGE RD # 90
BRIDGETON, MO 63044
St. Louis County (314) 391-4936

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 St. Louis Children's Surgery Center, LLC's NPI number?

The NPI number for St. Louis Children's Surgery Center, LLC is 1316620933. It was assigned to this organization in the NPPES registry on August 10, 2023.

Where is St. Louis Children's Surgery Center, LLC located?

St. Louis Children's Surgery Center, LLC is located at 12184 Natural Bridge Rd # 90, Bridgeton, MO 63044. The listed phone number is (314) 391-4936.

What is St. Louis Children's Surgery Center, LLC's specialty?

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

Does St. Louis Children's Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2294347) is associated with this NPI, valid through November 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St. Louis Children's Surgery Center, LLC accept?

Health plans from UnitedHealthcare list St. Louis Children's Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Louis Children's Surgery Center, LLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.