SOUTHERN IDAHO SURGERY CENTER PLLC
NPI 1396069902
Clinic/Center - Ambulatory Surgical in Meridian, ID

Active since March 25, 2010CLIA 13D2106536 · Waiver
3235 N TOWERBRIDGE WAY STE 100, MERIDIAN, ID 83646(208) 895-6611 Get Directions Write a Review

NPPES record last updated: July 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Idaho Surgery Center Pllc NPPES

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

SOUTHERN IDAHO SURGERY CENTER PLLC (NPI 1396069902) is a healthcare organization registered as an ambulatory surgical in Meridian, Idaho and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through December 20, 2027 and lists Marlon B Michel, President, as its authorized official.

NPPES Registry Identity

NPI1396069902
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTHERN IDAHO SURGERY CENTER PLLC
Location Address3235 N TOWERBRIDGE WAY STE 100Meridian, ID 83646-5721
Mailing Address3235 N Towerbridge Way Ste 100Meridian, ID 83646-5721 · (208) 895-6611
Organization SubpartNo
Authorized OfficialMarlon B MichelPresident · (208) 895-6611
Enumeration DateMarch 25, 2010
Last NPPES UpdateJuly 9, 2012
NPI 1396069902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3235 N TOWERBRIDGE WAY STE 100, Meridian, ID 83646

Accepted 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 13D2106536

Southern Idaho Surgery Center · Meridian, ID
Active · expires Dec 20, 2027
CLIA Number13D2106536
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorMarlon B. Michel
Laboratory Phone(208) 895-6611
Laboratory LocationSouthern Idaho Surgery Center3235 N Towerbridge Way #100, Meridian, ID 83646
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Anesthetist, Certified Registered
3235 N TOWERBRIDGE WAY STE 100
MERIDIAN, ID 83646
Nurse Anesthetist, Certified Registered
3235 N TOWERBRIDGE WAY STE 100
MERIDIAN, ID 83646
Nurse Anesthetist, Certified Registered
3235 N TOWERBRIDGE WAY STE 100
MERIDIAN, ID 83646

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 Idaho Surgery Center PLLC's NPI number?

The NPI number for Southern Idaho Surgery Center PLLC is 1396069902. It was assigned to this organization in the NPPES registry on March 25, 2010.

Where is Southern Idaho Surgery Center PLLC located?

Southern Idaho Surgery Center PLLC is located at 3235 N Towerbridge Way Ste 100, Meridian, ID 83646. The listed phone number is (208) 895-6611.

What is Southern Idaho Surgery Center PLLC's specialty?

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

Does Southern Idaho Surgery Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2106536) is associated with this NPI, valid through December 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Idaho Surgery Center PLLC accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Southern Idaho Surgery Center PLLC 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 Southern Idaho Surgery Center PLLC was last updated on July 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.