SU SURGICAL ASSOCIATES LLC
NPI 1548055585
Clinic/Center - Ambulatory Surgical in West Columbia, SC

Active since April 10, 2025CLIA 42D2325937 · Waiver
109 MIDLANDS CT, WEST COLUMBIA, SC 29169(803) 457-7000 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Su Surgical Associates Llc NPPES

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

SU SURGICAL ASSOCIATES LLC (NPI 1548055585) is a healthcare organization registered as an ambulatory surgical in West Columbia, South Carolina and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Andrea Pezzella, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1548055585
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSU SURGICAL ASSOCIATES LLC
Location Address109 MIDLANDS CTWest Columbia, SC 29169-3456
Mailing Address109 Midlands CtWest Columbia, SC 29169-3456 · (803) 457-7000
Organization SubpartNo
Authorized OfficialAndrea PezzellaMedical Director · (803) 457-7000
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
NPI 1548055585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
109 MIDLANDS CT, West Columbia, SC 29169

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 42D2325937

Su Surgical Associates LLC · West Columbia, SC
Active · expires Jun 23, 2027
CLIA Number42D2325937
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorAndrea M. Pezzella
Laboratory Phone(803) 457-7000
Laboratory LocationSu Surgical Associates LLC109 Midlands Court, West Columbia, SC 29169
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Acute Care)
109 MIDLANDS CT, STE A
WEST COLUMBIA, SC 29169
Specialist
109 MIDLANDS CT, SUITE B
WEST COLUMBIA, SC 29169

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 Su Surgical Associates LLC's NPI number?

The NPI number for Su Surgical Associates LLC is 1548055585. It was assigned to this organization in the NPPES registry on April 10, 2025.

Where is Su Surgical Associates LLC located?

Su Surgical Associates LLC is located at 109 Midlands Ct, West Columbia, SC 29169. The listed phone number is (803) 457-7000.

What is Su Surgical Associates LLC's specialty?

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

Does Su Surgical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2325937) is associated with this NPI, valid through June 23, 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 Su Surgical Associates LLC was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.