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ADVANCED SURGERY CENTER LLC
NPI 1619965324
Clinic/Center - Ambulatory Surgical in Saint Louis, MO

Active since October 07, 2005CLIA 26D1017302 · Waiver
12607 OLIVE BLVD, SAINT LOUIS, MO 63141(314) 205-1610(314) 205-1233 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Surgery Center Llc NPPES

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

ADVANCED SURGERY CENTER LLC (NPI 1619965324) is a healthcare organization registered as an ambulatory surgical in Saint Louis, Missouri and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Melinda Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1619965324
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADVANCED SURGERY CENTER LLC
Location Address12607 OLIVE BLVDSaint Louis, MO 63141-6313
Mailing Address12607 Olive BlvdSaint Louis, MO 63141-6313 · (314) 205-1610 · Fax (314) 205-1233
Phone(314) 205-1610
Fax(314) 205-1233
Organization SubpartNo
Authorized OfficialMelinda SmithAdministrator · (314) 205-1610
Enumeration DateOctober 7, 2005
Last NPPES UpdateAugust 11, 2014
✔ NPI 1619965324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in MO · 132-0
12607 OLIVE BLVD, Saint Louis, MO 63141
Open in Google Maps ↗

Other Identifiers 2

Medicaid506126200MO
Medicare ID-Type Unspecified26C0001074MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 26D1017302

Advanced Surgery Center LLC · Saint Louis, MO
Active · expires Sep 21, 2027
CLIA Number26D1017302
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorPaul A. Tesser
Laboratory Phone(314) 205-1610
Laboratory LocationAdvanced Surgery Center LLC12607 Olive Blvd, Saint Louis, MO 63141
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 4

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
802 services528 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
52 services41 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
22 services20 patients
Destruction of lens tissue using laser 66710
Destruction of lens tissue using a laser is a medical procedure aimed at treating eye conditions like cataracts. A laser is employed to break down the affected lens tissue, which is then removed. This allows the insertion of an artificial lens to improve vision.
16 services15 patients

Other Providers at the Same Location NPPES 7

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

VICTUS PHYSICIAN SERVICES, LLC
Clinic/Center (Multi-Specialty)
12607 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 327-8070
FORTIS ANESTHESIA MANAGEMENT LLC
Anesthesiology
12607 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 327-8070
NUCROWN, LLC
Optometrist
12607 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 428-0110
MISSOURI PAIN SPECIALISTS, LLC
Clinic/Center (Multi-Specialty)
12607 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 327-8070
A & N HEALTH SOLUTIONS LLC
Clinic/Center (Multi-Specialty)
12607 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (636) 395-2515
MISSOURI COMMONS SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
12607 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (143) 327-8070
STL ANESTHESIA, LLC
Anesthesiology
12607 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (831) 588-7296

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 Advanced Surgery Center LLC's NPI number?

The NPI number for Advanced Surgery Center LLC is 1619965324. It was assigned to this organization in the NPPES registry on October 7, 2005.

Where is Advanced Surgery Center LLC located?

Advanced Surgery Center LLC is located at 12607 Olive Blvd, Saint Louis, MO 63141. The listed phone number is (314) 205-1610.

What is Advanced Surgery Center LLC's specialty?

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

Does Advanced Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1017302) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Advanced Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Surgery Center LLC was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.