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PREMIER HEART SURGERY CENTER LLC
NPI 1497565972
Clinic/Center - Ambulatory Surgical in Lakeland, FL

Active since January 08, 2025CLIA 10D2334967 · Waiver
1470 N FLORIDA AVE STE 120, LAKELAND, FL 33805(813) 788-1400(813) 788-7691 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Heart Surgery Center Llc NPPES

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

PREMIER HEART SURGERY CENTER LLC (NPI 1497565972) is a healthcare organization registered as an ambulatory surgical in Lakeland, Florida and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Sunil Gupta, President, as its authorized official.

NPPES Registry Identity

NPI1497565972
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePREMIER HEART SURGERY CENTER LLC
Location Address1470 N FLORIDA AVE STE 120Lakeland, FL 33805-3637
Mailing Address38035 Medical Center AveZephyrhills, FL 33540-1384 · (813) 788-1400
Phone(813) 788-1400
Fax(813) 788-7691
Organization SubpartNo
Authorized OfficialSunil GuptaPresident · (863) 529-2322
Enumeration DateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
✔ NPI 1497565972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1470 N FLORIDA AVE STE 120, Lakeland, FL 33805
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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 10D2334967

Premier Heart Surgery Center LLC · Lakeland, FL
Active · expires Dec 3, 2027
CLIA Number10D2334967
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorChetan Khamare
Laboratory Phone(863) 343-8561
Laboratory LocationPremier Heart Surgery Center LLC1470 N Florida Ave, Suite 120, Lakeland, FL 33805
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Premier Heart Surgery Center LLC's NPI number?

The NPI number for Premier Heart Surgery Center LLC is 1497565972. It was assigned to this organization in the NPPES registry on January 8, 2025.

Where is Premier Heart Surgery Center LLC located?

Premier Heart Surgery Center LLC is located at 1470 N Florida Ave Ste 120, Lakeland, FL 33805. The listed phone number is (813) 788-1400.

What is Premier Heart Surgery Center LLC's specialty?

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

Does Premier Heart Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2334967) is associated with this NPI, valid through December 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Heart Surgery Center LLC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.