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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

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: July 19, 2026.

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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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

30 services30 patients

Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch C9600

This procedure involves threading a small tube through a blood vessel to your heart to open a blocked artery. A drug-eluting stent, a tiny mesh tube that releases medication, is then placed in the artery to keep it open and improve blood flow to your heart.

22 services18 patients

Laser destruction of incompetent vein of arm or leg using imaging guidance 36478

Laser destruction of an incompetent vein is a non-invasive procedure where a laser is used to seal off a malfunctioning vein in the arm or leg. The process is guided by imaging technology to ensure precision and effectiveness. This helps alleviate symptoms like pain and swelling.

18 services13 patients

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.

ANESTHESIA CARE PROVIDERS LLC

Nurse Anesthetist, Certified Registered