LEBANON SURGICENTER, LLC
NPI 1598629347
Clinic/Center - Ambulatory Surgical in Lebanon, TN

Active since December 15, 2025CLIA 44D2297018 · Waiver
125 WILLARD HAGAN DR, LEBANON, TN 37090(615) 449-1150(615) 449-1162 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lebanon Surgicenter, Llc NPPES

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

LEBANON SURGICENTER, LLC (NPI 1598629347), doing business as Lebanon Center For Outpatient Surgery, is a healthcare organization registered as an ambulatory surgical in Lebanon, Tennessee and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists David Mcknight, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1598629347
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLEBANON SURGICENTER, LLC
Location Address125 WILLARD HAGAN DRLebanon, TN 37090-1023
Mailing Address125 Willard Hagan DrLebanon, TN 37090-1023 · (615) 449-1150 · Fax (615) 449-1162
Fax(615) 449-1162
Organization SubpartNo
Authorized OfficialDavid McknightVp/cfo · (972) 789-2816
Enumeration DateDecember 15, 2025
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
NPI 1598629347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
125 WILLARD HAGAN DR, Lebanon, TN 37090

Other Names 1

Doing Business AsLebanon Center For Outpatient Surgery

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 44D2297018

Lebanon Surgicenter, LLC Dba Lebanon Center For Outpatient Surgery · Lebanon, TN
Active · expires Jan 9, 2028
CLIA Number44D2297018
Laboratory TypeHopd Surgery Center
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorJonathan P. Cornelius
Laboratory Phone(615) 449-1150
Laboratory LocationLebanon Surgicenter, LLC Dba Lebanon Center For Outpatient Surgery125 Willard Hagan Dr, Lebanon, TN 37090
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

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

Clinic/Center (Ambulatory Surgical)
125 WILLARD HAGAN DR
LEBANON, TN 37090

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 Lebanon Surgicenter, LLC's NPI number?

The NPI number for Lebanon Surgicenter, LLC is 1598629347. It was assigned to this organization in the NPPES registry on December 15, 2025. The provider is doing business as Lebanon Center for Outpatient Surgery.

Where is Lebanon Surgicenter, LLC located?

Lebanon Surgicenter, LLC is located at 125 Willard Hagan Dr, Lebanon, TN 37090. The listed phone number is (615) 449-1150.

What is Lebanon Surgicenter, LLC's specialty?

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

Does Lebanon Surgicenter, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2297018) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lebanon Surgicenter, LLC was last updated on June 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.