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OLYMPIAN SURGICAL SUITES LLC
NPI 1629218466
Clinic/Center - Ambulatory Surgical in Champaign, IL

Active since March 05, 2009CLIA 14D1101337 · Waiver
1002 W INTERSTATE DR, CHAMPAIGN, IL 61822(217) 693-5703(217) 693-5723 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olympian Surgical Suites Llc NPPES

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

OLYMPIAN SURGICAL SUITES LLC (NPI 1629218466) is a healthcare organization registered as an ambulatory surgical in Champaign, Illinois and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Hailey Boyd, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1629218466
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameOLYMPIAN SURGICAL SUITES LLC
Location Address1002 W INTERSTATE DRChampaign, IL 61822
Mailing Address1002 W Interstate DrChampaign, IL 61822 · (217) 693-5703 · Fax (217) 693-5723
Phone(217) 693-5703
Fax(217) 693-5723
Organization SubpartNo
Authorized OfficialHailey BoydBusiness Office Manager · (217) 693-5703
Enumeration DateMarch 5, 2009
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1629218466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1002 W INTERSTATE DR, Champaign, IL 61822
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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 14D1101337

Olympian Surgical Suites · Champaign, IL
Active · expires Jun 24, 2027
CLIA Number14D1101337
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorSidney Rohschieb
Laboratory Phone(866) 622-9222
Laboratory LocationOlympian Surgical Suites1002 Interstate Drive, Champaign, IL 61822
CLIA data matches this NPI record on: 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 Olympian Surgical Suites LLC's NPI number?

The NPI number for Olympian Surgical Suites LLC is 1629218466. It was assigned to this organization in the NPPES registry on March 5, 2009.

Where is Olympian Surgical Suites LLC located?

Olympian Surgical Suites LLC is located at 1002 W Interstate Dr, Champaign, IL 61822. The listed phone number is (217) 693-5703.

What is Olympian Surgical Suites LLC's specialty?

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

Does Olympian Surgical Suites LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1101337) is associated with this NPI, valid through June 24, 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 Olympian Surgical Suites LLC was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.