SURGICAL SUITES AT THE WALL CENTER, LLC
NPI 1386893758
Clinic/Center - Ambulatory Surgical in Shreveport, LA

Active since September 10, 2008
8600 FERN AVENUE, STE. 200, SHREVEPORT, LA 71105(318) 795-0801(318) 795-9492 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surgical Suites At The Wall Center, Llc NPPES

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

SURGICAL SUITES AT THE WALL CENTER, LLC (NPI 1386893758) is a healthcare organization registered as an ambulatory surgical in Shreveport, Louisiana and active in the NPI registry since September 2008. The organization lists Simeon H. Wall, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1386893758
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGICAL SUITES AT THE WALL CENTER, LLC
Location Address8600 FERN AVENUE, STE. 200Shreveport, LA 71105
Mailing Address8600 Fern AvenueShreveport, LA 71105 · (318) 795-0801 · Fax (318) 795-9492
Fax(318) 795-9492
Organization SubpartNo
Authorized OfficialSimeon H. WallMedical Director · (318) 795-0801
Enumeration DateSeptember 10, 2008
Last NPPES UpdateApril 21, 2009
NPI 1386893758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
8600 FERN AVENUE, Shreveport, LA 71105

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 19D1087464

Surgical Suites At The Wall Center LLC · Shreveport, LA
Expired · Aug 4, 2026
CLIA Number19D1087464
Laboratory TypeAmbulance
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorSimeon H. Wall Jr MD
Laboratory Phone(318) 795-0801
Laboratory LocationSurgical Suites At The Wall Center LLC8600 Fern Avenue, Shreveport, LA 71105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Surgery (Plastic and Reconstructive Surgery)
8600 FERN AVENUE
SHREVEPORT, LA 71105
Plastic Surgery
8600 FERN AVENUE
SHREVEPORT, LA 71105

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 Surgical Suites At The Wall Center, LLC's NPI number?

The NPI number for Surgical Suites At The Wall Center, LLC is 1386893758. It was assigned to this organization in the NPPES registry on September 10, 2008.

Where is Surgical Suites At The Wall Center, LLC located?

Surgical Suites At The Wall Center, LLC is located at 8600 Fern Avenue Ste. 200, Shreveport, LA 71105. The listed phone number is (318) 795-0801.

What is Surgical Suites At The Wall Center, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Surgical Suites At The Wall Center, LLC was last updated on April 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.