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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHERN TIER SURGERY CENTER LLC
NPI 1386536209
Clinic/Center - Ambulatory Surgical in Johnson City, NY

Active since July 16, 2025CLIA 33D2335298 · Waiver
400 W COMMONS WAY STE 100, JOHNSON CITY, NY 13790(607) 314-5050(607) 314-5051 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Aug 17, 2026, Sep 2, 2025 (3 updates tracked since 2025).

About Southern Tier Surgery Center Llc NPPES

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

SOUTHERN TIER SURGERY CENTER LLC (NPI 1386536209), doing business as Guthrie Broome Orthopedic And Spine Surgery Center, is a healthcare organization registered as an ambulatory surgical in Johnson City, New York and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kenneth L Rosenquest, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1386536209
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTHERN TIER SURGERY CENTER LLC
Location Address400 W COMMONS WAY STE 100Johnson City, NY 13790-1883
Mailing Address400 W Commons Way Ste 100Johnson City, NY 13790-1883 · (607) 314-5050 · Fax (607) 314-5051
Phone(607) 314-5050
Fax(607) 314-5051
Organization SubpartYesParent: New York Holdco
Authorized OfficialKenneth L RosenquestChief Operations Officer · (860) 833-2375
Enumeration DateJuly 16, 2025
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1386536209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
400 W COMMONS WAY STE 100, Johnson City, NY 13790
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Other Names 1

Doing Business AsGuthrie Broome Orthopedic And Spine Surgery Center

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 33D2335298

Binghamton Project LLC · Johnson City, NY
Active · expires Mar 26, 2027
CLIA Number33D2335298
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Mohamed A. Al Saied
Laboratory Phone(617) 315-5050
Laboratory LocationBinghamton Project LLC400 W Commons Way - Ste 100, Johnson City, NY 13790
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Southern Tier Surgery Center LLC's NPI number?

The NPI number for Southern Tier Surgery Center LLC is 1386536209. It was assigned to this organization in the NPPES registry on July 16, 2025. The provider is doing business as Guthrie Broome Orthopedic and Spine Surgery Center.

Where is Southern Tier Surgery Center LLC located?

Southern Tier Surgery Center LLC is located at 400 W Commons Way Ste 100, Johnson City, NY 13790. The listed phone number is (607) 314-5050.

What is Southern Tier Surgery Center LLC's specialty?

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

Does Southern Tier Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2335298) is associated with this NPI, valid through March 26, 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 Southern Tier Surgery Center LLC was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.