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LIBERTY MEDICAL DEVELOPMENT, LLC
NPI 1528623329
Clinic/Center - Ambulatory Surgical in Christiansted, VI

Active since May 07, 2019CLIA 48D2171475 · Waiver
4006 ESTATE DIAMOND STE 203, CHRISTIANSTED, VI 00820(340) 718-2664(340) 779-2443 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2021, May 7, 2019 (2 updates tracked since 2019).

About Liberty Medical Development, Llc NPPES

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

LIBERTY MEDICAL DEVELOPMENT, LLC (NPI 1528623329) is a healthcare organization registered as an ambulatory surgical in Christiansted, Virgin Islands and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through September 2, 2027 and lists Brian Bacot, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528623329
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLIBERTY MEDICAL DEVELOPMENT, LLC
Location Address4006 ESTATE DIAMOND STE 203Christiansted, VI 00820-4534
Mailing AddressPo Box 11567St Thomas, VI 00801-4567 · (340) 779-2663 · Fax (340) 779-2443
Phone(340) 718-2664
Fax(340) 779-2443
Organization SubpartNo
Authorized OfficialBrian BacotCeo · (340) 779-2663
Enumeration DateMay 7, 2019
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1528623329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X

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 48D2171475

Liberty Medical Development D/B/A Sty Croix Surgery Center · Christiansted, VI
Active · expires Sep 2, 2027
CLIA Number48D2171475
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorBrian C. Bacot
Laboratory Phone(340) 718-2664
Laboratory LocationLiberty Medical Development D/B/A Sty Croix Surgery Center4006 Estate Diamond, Christiansted, VI 00820
CLIA data matches this NPI record on: Address 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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
26 services26 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
17 services17 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
11 services11 patients

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 Liberty Medical Development, LLC's NPI number?

The NPI number for Liberty Medical Development, LLC is 1528623329. It was assigned to this organization in the NPPES registry on May 7, 2019.

Where is Liberty Medical Development, LLC located?

Liberty Medical Development, LLC is located at 4006 Estate Diamond Ste 203, Christiansted, VI 00820. The listed phone number is (340) 718-2664.

What is Liberty Medical Development, LLC's specialty?

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

Does Liberty Medical Development, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 48D2171475) is associated with this NPI, valid through September 2, 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 Liberty Medical Development, LLC was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.