1. Home
  2. Directory
  3. Illinois
  4. Hoyleton
  5. Clinic Center
  6. NPI Profile

ADVANCED SURGICAL TECHNOLOGY, LLC
NPI 1659058659
Clinic/Center - Rural Health in Hoyleton, IL

Active since June 30, 2023CLIA 14D2231713 · Waiver
28 N MAIN ST, HOYLETON, IL 62803(618) 918-7777(618) 918-7782 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Advanced Surgical Technology, Llc NPPES

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

ADVANCED SURGICAL TECHNOLOGY, LLC (NPI 1659058659), doing business as Ast Primary Care Hoyleton, is a healthcare organization registered as a rural health in Hoyleton, Illinois and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Jennia Rensing, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1659058659
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameADVANCED SURGICAL TECHNOLOGY, LLC
Location Address28 N MAIN STHoyleton, IL 62803-2000
Mailing Address28 N Main StHoyleton, IL 62803-2000 · (618) 918-7777 · Fax (618) 918-7782
Phone(618) 918-7777
Fax(618) 918-7782
Organization SubpartNo
Authorized OfficialJennia RensingOffice Manager · (618) 899-9200
Enumeration DateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1659058659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
28 N MAIN ST, Hoyleton, IL 62803
Open in Google Maps ↗

Other Names 1

Doing Business AsAst Primary Care Hoyleton

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 14D2231713

Advanced Surgical Technology, LLC · Centralia, IL
Active · expires Jan 7, 2028
CLIA Number14D2231713
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorUdaya K. Liyanage
Laboratory Phone(618) 899-9200
Laboratory LocationAdvanced Surgical Technology, LLC1307 E Mccord, Centralia, IL 62801
CLIA data matches this NPI record on: Name Phone
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 Advanced Surgical Technology, LLC's NPI number?

The NPI number for Advanced Surgical Technology, LLC is 1659058659. It was assigned to this organization in the NPPES registry on June 30, 2023. The provider is doing business as AST Primary Care Hoyleton.

Where is Advanced Surgical Technology, LLC located?

Advanced Surgical Technology, LLC is located at 28 N Main St, Hoyleton, IL 62803. The listed phone number is (618) 918-7777.

What is Advanced Surgical Technology, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Advanced Surgical Technology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2231713) is associated with this NPI, valid through January 7, 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 Advanced Surgical Technology, LLC was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.