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LAUREL SURGERY & ENDO ANESTHESIA
NPI 1639249394
Anesthesiology in Laurel, MS

Active since November 09, 2006CLIA 25D1019505 · Waiver
1710 W 12TH ST, LAUREL, MS 39440(601) 369-2021 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 17, 2018, May 24, 2018, Oct 18, 2016 and 1 more (4 updates tracked since 2016).

About Laurel Surgery & Endo Anesthesia NPPES

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

LAUREL SURGERY & ENDO ANESTHESIA (NPI 1639249394) is a healthcare organization registered as an anesthesiology in Laurel, Mississippi and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Lisa Bergin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639249394
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameLAUREL SURGERY & ENDOSCOPY CENTER, LLC
Location Address1710 W 12TH STLaurel, MS 39440
Mailing Address1710 W 12th StLaurel, MS 39440-2559 · (601) 369-2021
Phone(601) 369-2021
Organization SubpartYes
Authorized OfficialLisa BerginAdministrator · (601) 369-2021
Enumeration DateNovember 9, 2006
Last NPPES UpdateApril 18, 20234 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
✔ NPI 1639249394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1710 W 12TH ST, Laurel, MS 39440
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Other Names 1

Doing Business AsLaurel Surgery & Endo Anesthesia

Other Identifiers 1

Medicaid01224218MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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 25D1019505

Laurel Surgery And Endoscopy Center LLC · Laurel, MS
Active · expires Nov 19, 2027
CLIA Number25D1019505
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorChad E. Saul
Laboratory Phone(601) 369-2021
Laboratory LocationLaurel Surgery And Endoscopy Center LLC1710 West 12th Street, Laurel, MS 39440
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

SHEREE BURTON
Nurse Anesthetist, Certified Registered
1710 W 12TH ST
LAUREL, MS 39440
Jones County (601) 369-2021
VIVEK BARCLAY MD
Anesthesiology
1710 W 12TH ST
LAUREL, MS 39440
Jones County (601) 369-2021
LAUREL SURGERY & ENDOSCOPY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1710 W 12TH ST
LAUREL, MS 39440
Jones County (601) 369-2021
BARRY M SKEEN CRNA
Nurse Anesthetist, Certified Registered
1710 W 12TH ST
LAUREL, MS 39440
Jones County (601) 369-2021

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 Laurel Surgery & Endoscopy Center, LLC's NPI number?

The NPI number for Laurel Surgery & Endoscopy Center, LLC is 1639249394. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Laurel Surgery & Endo Anesthesia.

Where is Laurel Surgery & Endoscopy Center, LLC located?

Laurel Surgery & Endoscopy Center, LLC is located at 1710 W 12th St, Laurel, MS 39440. The listed phone number is (601) 369-2021.

What is Laurel Surgery & Endoscopy Center, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Does Laurel Surgery & Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1019505) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Laurel Surgery & Endoscopy Center, LLC accept?

Health plans from Molina Healthcare list Laurel Surgery & Endoscopy 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 Laurel Surgery & Endoscopy Center, LLC was last updated on April 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.