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IPC SURGERY CENTER
NPI 1457134595
Clinic/Center - Ambulatory Surgical in Cleveland, TN

Active since August 14, 2023CLIA 44D2305302 · Waiver
2550 BUSINESS PARK DR NE, CLEVELAND, TN 37311(423) 339-9581 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Aug 14, 2023 (2 updates tracked since 2023).

About Ipc Surgery Center NPPES

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

IPC SURGERY CENTER (NPI 1457134595) is a healthcare organization registered as an ambulatory surgical in Cleveland, Tennessee and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Kari Widdifield, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1457134595
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameIPC SURGERY CENTER
Location Address2550 BUSINESS PARK DR NECleveland, TN 37311-6503
Mailing AddressPo Box 2070Cleveland, TN 37320-2070
Phone(423) 339-9581
Organization SubpartNo
Authorized OfficialKari WiddifieldPractice Administrator · (423) 339-9581
Enumeration DateAugust 14, 2023
Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1457134595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2550 BUSINESS PARK DR NE, Cleveland, TN 37311
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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 44D2305302

Ipc Surgery Center · Cleveland, TN
Active · expires May 28, 2028
CLIA Number44D2305302
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorJoshua L. Hare
Laboratory Phone(423) 339-9581
Laboratory LocationIpc Surgery Center2550 Business Park Dr NE, Cleveland, TN 37311
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 7

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

INTERVENTIONAL PAIN CONSULTANTS
Pain Medicine (Interventional Pain Medicine)
2550 BUSINESS PARK DR NE
CLEVELAND, TN 37311
Bradley County (423) 339-9581
DR. BRENDA A SNOWMAN MD
Obstetrics & Gynecology
2550 BUSINESS PARK DR NE
CLEVELAND, TN 37311
Bradley County (423) 339-8881
MRS. JENNIFER ANN LIPPS CNM
Advanced Practice Midwife
2550 BUSINESS PARK DR NE
CLEVELAND, TN 37311
Bradley County (423) 339-8881
MS. MICHELLE GOLDMAN DAVIS PA-C
Physician Assistant (Medical)
2550 BUSINESS PARK DR NE
CLEVELAND, TN 37311
Bradley County (423) 339-8881
JOHN W CHAMBERS MD
Specialist
2550 BUSINESS PARK DR NE
CLEVELAND, TN 37311
Bradley County (423) 339-8881
OCOEE OB/GYN, PC
Obstetrics & Gynecology
2550 BUSINESS PARK DR NE
CLEVELAND, TN 37311
Bradley County (423) 339-8881
INTERVENTIONAL PAIN CONSULTANTS
Durable Medical Equipment & Medical Supplies
2550 BUSINESS PARK DR NE
CLEVELAND, TN 37311
Bradley County (423) 339-9581

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 Ipc Surgery Center's NPI number?

The NPI number for Ipc Surgery Center is 1457134595. It was assigned to this organization in the NPPES registry on August 14, 2023.

Where is Ipc Surgery Center located?

Ipc Surgery Center is located at 2550 Business Park Dr NE, Cleveland, TN 37311. The listed phone number is (423) 339-9581.

What is Ipc Surgery Center's specialty?

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

Does Ipc Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2305302) is associated with this NPI, valid through May 28, 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 Ipc Surgery Center was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.