MERIDIAN CENTER FOR SURGICAL EXCELLENCE
NPI 1366638843
Clinic/Center - Ambulatory Surgical in Tualatin, OR

Active since September 19, 2007CLIA 38D1073937 · Waiver
19801 SW 72ND AVE, SUITE 170, TUALATIN, OR 97062(503) 783-0542(503) 783-0545 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Meridian Center For Surgical Excellence NPPES

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

MERIDIAN CENTER FOR SURGICAL EXCELLENCE (NPI 1366638843) is a healthcare organization registered as an ambulatory surgical in Tualatin, Oregon and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Timothy Patrick Connall, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366638843
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMERIDIAN CENTER FOR SURGICAL EXCELLENCE
Location Address19801 SW 72ND AVE, SUITE 170Tualatin, OR 97062-8351
Mailing Address19801 Sw 72nd Ave, Suite 170Tualatin, OR 97062-8351 · (503) 783-0542 · Fax (503) 783-0545
Fax(503) 783-0545
Organization SubpartNo
Authorized OfficialTimothy Patrick ConnallMedical Director · (503) 783-0542
Enumeration DateSeptember 19, 2007
NPI 1366638843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
19801 SW 72ND AVE, Tualatin, OR 97062

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 38D1073937

Meridian Center For Surgical Excellence · Tualatin, OR
Active · expires Sep 18, 2027
CLIA Number38D1073937
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorTimothy P. Connall MD
Laboratory Phone(503) 783-0544
Laboratory LocationMeridian Center For Surgical Excellence19801 SW 72nd Ave Suite 170 Attn Cheryl, Tualatin, OR 97062
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Ambulatory Surgical)
19801 SW 72ND AVE, SUITE 150
TUALATIN, OR 97062
Surgery (Plastic and Reconstructive Surgery)
19801 SW 72ND AVE, SUITE 160
TUALATIN, OR 97062
Surgery (Plastic and Reconstructive Surgery)
19801 SW 72ND AVE, SUITE 160
TUALATIN, OR 97062
Optometrist
19801 SW 72ND AVE
TUALATIN, OR 97062
Ophthalmology
19801 SW 72ND AVE
TUALATIN, OR 97062

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 Meridian Center For Surgical Excellence's NPI number?

The NPI number for Meridian Center For Surgical Excellence is 1366638843. It was assigned to this organization in the NPPES registry on September 19, 2007.

Where is Meridian Center For Surgical Excellence located?

Meridian Center For Surgical Excellence is located at 19801 SW 72nd Ave Suite 170, Tualatin, OR 97062. The listed phone number is (503) 783-0542.

What is Meridian Center For Surgical Excellence's specialty?

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

Does Meridian Center For Surgical Excellence hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1073937) 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 Meridian Center For Surgical Excellence was last updated on September 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.