BLOOMINGTON ADVANCED SURGERY CENTER
NPI 1467128819
Clinic/Center - Ambulatory Surgical in Bloomington, IN

NPI Status: Active since August 17, 2021

Contact Information

445 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
Phone: (708) 275-7799

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 15D2234916
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 09-02-2027

About BLOOMINGTON ADVANCED SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Bloomington Advanced Surgery Center, a provider established in Bloomington, Indiana operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1467128819 assigned on August 2021. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Bloomington Advanced Surgery Center. The authorized official of this NPI record is Wesley G Lackey Md (Medical Director)

NPI
1467128819
Provider Legal Name
BLOOMINGTON ADVANCED SURGERY CENTER, LLC
Other Organization Name
BLOOMINGTON ADVANCED SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
445 S LANDMARK AVE BLOOMINGTON, IN 47403
Location Phone
(708) 275-7799
Mailing Address
445 S LANDMARK AVE BLOOMINGTON, IN 47403
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2021
Last Update Date
08-17-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WESLEY G LACKEY MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(317) 455-1064

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Imaging guidance for procedure, 60 minutes or less

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

This service was performed 34 times for 30 patients

Injection, bupivacaine liposome, 1 mg

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

This service was performed 34,847 times for 122 patients

Replacement of knee joint on side of knee

A knee joint replacement on one side, also known as unicompartmental knee replacement, is a surgical procedure where damaged parts of the knee joint are replaced with artificial parts. This helps to reduce pain and improve mobility. It's typically done under general anesthesia.

This service was performed 34 times for 30 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 76 times for 69 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 42 times for 41 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2234916
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 03, 2025
Certificate Expiration Date
September 02, 2027
Laboratory Director
WESLEY G. LACKEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bloomington Advanced Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467128819, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 2 + 2 + 1 + 6 + 8 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1467128819.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Social Worker (Clinical)
445 S LANDMARK AVE
BLOOMINGTON, IN 47403
Social Worker (Clinical)
445 S LANDMARK AVE
BLOOMINGTON, IN 47403
Social Worker (Clinical)
445 S LANDMARK AVE
BLOOMINGTON, IN 47403
Psychiatry & Neurology (Psychiatry)
445 S LANDMARK AVE
BLOOMINGTON, IN 47403
Psychologist
445 S LANDMARK AVE
BLOOMINGTON, IN 47403
Social Worker (Clinical)
445 S LANDMARK AVE
BLOOMINGTON, IN 47403
Nurse Practitioner (Adult Health)
445 S LANDMARK AVE
BLOOMINGTON, IN 47403
Psychiatry & Neurology (Psychiatry)
445 S LANDMARK AVE
BLOOMINGTON, IN 47403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467128819, enumerated as an "organization" on August 17, 2021.

The provider is located at 445 S LANDMARK AVE BLOOMINGTON, IN 47403 and the phone number is (708) 275-7799.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.