PCS PROCEDURE SUITE LLC
NPI 1659029411
Clinic/Center - Ambulatory Surgical in Pocatello, ID

Q: What is Pcs Procedure Suite LLC's NPI number?

The NPI number for Pcs Procedure Suite LLC is 1659029411. It was assigned to this organization in the NPPES registry on March 11, 2022.

Q: What is Pcs Procedure Suite LLC's specialty?

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

Active since March 11, 2022CLIA 13D1026192 · Waiver

110 VISTA DR, POCATELLO, ID 83201(208) 234-2300(208) 234-0026 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pcs Procedure Suite Llc NPPES

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

PCS PROCEDURE SUITE LLC (NPI 1659029411) is a healthcare organization registered as an ambulatory surgical in Pocatello, Idaho and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Mark L Mansfield, Owner, as its authorized official.

NPPES Registry Identity

NPI1659029411

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePCS PROCEDURE SUITE LLC

Location Address110 VISTA DRPocatello, ID 83201-5824

Mailing Address110 Vista DrPocatello, ID 83201-5824 · (208) 234-2300 · Fax (208) 234-0026

Phone(208) 234-2300

Fax(208) 234-0026

Organization SubpartNo

Authorized OfficialMark L MansfieldOwner · (208) 234-2300

Enumeration DateMarch 11, 2022

Last NPPES UpdateSeptember 28, 2023

NPPES CertifiedSeptember 28, 2023

✔ NPI 1659029411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

110 VISTA DR, Pocatello, ID 83201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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 13D1026192

Pcs Procedure Suite LLC · Pocatello, ID

Active · expires May 27, 2028

CLIA Number13D1026192

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 28, 2026

Certificate Expiration DateMay 27, 2028

Laboratory DirectorMark L. Mansfield

Laboratory Phone(208) 234-2300

Laboratory LocationPcs Procedure Suite LLC110 Vista Dr, Pocatello, ID 83201

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 3

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.

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

21 services21 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

19 services19 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

11 services11 patients

Other Providers at the Same Location NPPES 11

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

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