LOG SURGERY CENTER, LLC
NPI 1326632936
Clinic/Center - Ambulatory Surgical in Lancaster, PA

Q: What is Log Surgery Center, LLC's NPI number?

The NPI number for Log Surgery Center, LLC is 1326632936. It was assigned to this organization in the NPPES registry on February 24, 2021.

Q: What is Log Surgery Center, LLC's specialty?

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

Active since February 24, 2021CLIA 39D2254600 · Waiver

413 GRANITE RUN DR, LANCASTER, PA 17601(860) 667-9542 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 15, 2021, Feb 24, 2021 (2 updates tracked since 2021).

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About Log Surgery Center, Llc NPPES

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

LOG SURGERY CENTER, LLC (NPI 1326632936) is a healthcare organization registered as an ambulatory surgical in Lancaster, Pennsylvania and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Lucille Formeister, Director, Business Systems, as its authorized official.

NPPES Registry Identity

NPI1326632936

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameLOG SURGERY CENTER, LLC

Location Address413 GRANITE RUN DRLancaster, PA 17601-6809

Mailing Address413 Granite Run DrLancaster, PA 17601-6809 · (860) 667-9542

Phone(860) 667-9542

Organization SubpartNo

Authorized OfficialLucille FormeisterDirector, Business Systems · (860) 667-9542

Enumeration DateFebruary 24, 2021

Last NPPES UpdateJune 15, 20212 updates tracked since enumeration

NPPES CertifiedJune 15, 2021

✔ NPI 1326632936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

413 GRANITE RUN DR, Lancaster, PA 17601

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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 39D2254600

Log Surgery Center, LLC · Lancaster, PA

Active · expires Mar 6, 2028

CLIA Number39D2254600

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 7, 2026

Certificate Expiration DateMarch 6, 2028

Laboratory DirectorDr. Marcelino P. Oliveri

Laboratory Phone(717) 205-8964

Laboratory LocationLog Surgery Center, LLC413 Granite Run Drive, Lancaster, PA 17601

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 13

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.

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

121 services103 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

109 services83 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

69 services68 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

53 services53 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

38 services38 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

28 services27 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

24 services24 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

20 services18 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

18 services18 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

18 services18 patients

Replacement of knee joint on side of knee 27446

A knee joint replacement on one side, also known as unicompartmental knee replacement, is a surgical procedure where damaged parts of the knee joint are replaced with artificial parts. This helps to reduce pain and improve mobility. It's typically done under general anesthesia.

13 services11 patients

Lengthening of calf muscle 27687

Lengthening of the calf muscle is a procedure aimed at increasing flexibility and improving motion in the foot and ankle. This surgical process involves making a small incision to release the tight muscle or tendon, aiding in better mobility.

13 services13 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

11 services11 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 Log Surgery Center, LLC's NPI number?

The NPI number for Log Surgery Center, LLC is 1326632936. It was assigned to this organization in the NPPES registry on February 24, 2021.

Where is Log Surgery Center, LLC located?

Log Surgery Center, LLC is located at 413 Granite Run Dr, Lancaster, PA 17601. The listed phone number is (860) 667-9542.

What is Log Surgery Center, LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 39D2254600) is associated with this NPI, valid through March 6, 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 Log Surgery Center, LLC was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.