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

Q: What is Bloomington Advanced Surgery Center, LLC's specialty?

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

Active since August 17, 2021CLIA 15D2234916 · Waiver

445 S LANDMARK AVE, BLOOMINGTON, IN 47403(708) 275-7799 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bloomington Advanced Surgery Center NPPES

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

BLOOMINGTON ADVANCED SURGERY CENTER (NPI 1467128819) is a healthcare organization registered as an ambulatory surgical in Bloomington, Indiana and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through September 2, 2027 and lists Wesley G Lackey, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1467128819

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameBLOOMINGTON ADVANCED SURGERY CENTER, LLC

Location Address445 S LANDMARK AVEBloomington, IN 47403-5004

Mailing Address445 S Landmark AveBloomington, IN 47403-5004

Phone(708) 275-7799

Organization SubpartNo

Authorized OfficialWesley G LackeyMedical Director · (317) 455-1064

Enumeration DateAugust 17, 2021

NPPES CertifiedAugust 17, 2021

✔ NPI 1467128819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

445 S LANDMARK AVE, Bloomington, IN 47403

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Other Names 1

Doing Business AsBloomington Advanced 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 15D2234916

Bloomington Advanced Surgery Center · Bloomington, IN

Active · expires Sep 2, 2027

CLIA Number15D2234916

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 3, 2025

Certificate Expiration DateSeptember 2, 2027

Laboratory DirectorWesley G. Lackey

Laboratory Phone(812) 668-6840

Laboratory LocationBloomington Advanced Surgery Center445 S Landmark Ave, Bloomington, IN 47403

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290

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.

42,029 services153 patients

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg C9088

Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.

9,200 services23 patients

Imaging guidance for procedure, 60 minutes or less 76000

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.

324 services57 patients

Replacement of knee joint, both sides of knee 27447

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.

119 services111 patients

Replacement of thigh bone and hip joint with prosthesis 27130

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.

72 services70 patients

Replacement of knee joint on side of knee 27446

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.

38 services36 patients

Other Providers at the Same Location NPPES 8

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

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