CENTRIC AMBULATORY SURGERY CENTER LLC
NPI 1487158796
Clinic/Center - Ambulatory Surgical in Moberly, MO

Active since March 21, 2018CLIA 26D2154373 · Waiver
2103 SILVA LN, MOBERLY, MO 65270(660) 616-0022 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Centric Ambulatory Surgery Center Llc NPPES

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

CENTRIC AMBULATORY SURGERY CENTER LLC (NPI 1487158796) is a healthcare organization registered as an ambulatory surgical in Moberly, Missouri and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Sanjeev Dhari Ravipudi, Owner, as its authorized official.

NPPES Registry Identity

NPI1487158796
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCENTRIC AMBULATORY SURGERY CENTER LLC
Location Address2103 SILVA LNMoberly, MO 65270-3660
Mailing Address2103 Silva LnMoberly, MO 65270-3660 · (660) 616-0022
Organization SubpartNo
Authorized OfficialSanjeev Dhari RavipudiOwner · (626) 394-6299
Enumeration DateMarch 21, 2018
Last NPPES UpdateMarch 22, 2018
NPI 1487158796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2103 SILVA LN, Moberly, MO 65270

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 26D2154373

Centric Ambulatory Surgery Center, LLC · Moberly, MO
Active · expires Sep 10, 2026
CLIA Number26D2154373
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorSanjeev D. Ravipudi
Laboratory Phone(660) 616-0022
Laboratory LocationCentric Ambulatory Surgery Center, LLC2301 Silva Ln, Moberly, MO 65270
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 6

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

Anesthesiology (Pain Medicine)
2103 SILVA LN
MOBERLY, MO 65270
Clinic/Center (Ambulatory Surgical)
2103 SILVA LN
MOBERLY, MO 65270
Internal Medicine (Interventional Cardiology)
2103 SILVA LN
MOBERLY, MO 65270
Internal Medicine (Cardiovascular Disease)
2103 SILVA LN
MOBERLY, MO 65270
Internal Medicine (Interventional Cardiology)
2103 SILVA LN
MOBERLY, MO 65270
Nurse Anesthetist, Certified Registered
2103 SILVA LN
MOBERLY, MO 65270

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 Centric Ambulatory Surgery Center LLC's NPI number?

The NPI number for Centric Ambulatory Surgery Center LLC is 1487158796. It was assigned to this organization in the NPPES registry on March 21, 2018.

Where is Centric Ambulatory Surgery Center LLC located?

Centric Ambulatory Surgery Center LLC is located at 2103 Silva Ln, Moberly, MO 65270. The listed phone number is (660) 616-0022.

What is Centric Ambulatory Surgery Center LLC's specialty?

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

Does Centric Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2154373) is associated with this NPI, valid through September 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Centric Ambulatory Surgery Center LLC accept?

Health plans from UnitedHealthcare list Centric Ambulatory Surgery Center LLC 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 Centric Ambulatory Surgery Center LLC was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.