TYLER TX ASC LLC
NPI 1689353823
Clinic/Center - Ambulatory Surgical in Tyler, TX

Active since July 14, 2023CLIA 45D2289512 · Waiver
4801 TROUP HWY STE 800, TYLER, TX 75703(903) 363-1558 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2023, Jul 14, 2023 (2 updates tracked since 2023).

About Tyler Tx Asc Llc NPPES

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

TYLER TX ASC LLC (NPI 1689353823) is a healthcare organization registered as an ambulatory surgical in Tyler, Texas and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Erica Hardy, Vp, Human Resources, as its authorized official.

NPPES Registry Identity

NPI1689353823
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTYLER TX ASC LLC
Location Address4801 TROUP HWY STE 800Tyler, TX 75703-2357
Mailing Address4801 Troup Hwy Ste 800Tyler, TX 75703-2357 · (903) 363-1558
Organization SubpartNo
Authorized OfficialErica HardyVp, Human Resources · (903) 363-1558
Enumeration DateJuly 14, 2023
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
NPI 1689353823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4801 TROUP HWY STE 800, Tyler, TX 75703

Accepted 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 45D2289512

Tyler Tx ASC, LLC · Tyler, TX
Active · expires Sep 11, 2027
CLIA Number45D2289512
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorWilliam Dreiss
Laboratory Phone(714) 766-5883
Laboratory LocationTyler Tx ASC, LLC4801 Troup Hwy, Suite 800, Tyler, TX 75703
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Occupational Therapy Assistant
4801 TROUP HWY STE 800
TYLER, TX 75703
Speech-Language Pathologist
4801 TROUP HWY STE 800
TYLER, TX 75703
Physical Therapist (Pediatrics)
4801 TROUP HWY STE 800
TYLER, TX 75703

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 Tyler Tx ASC LLC's NPI number?

The NPI number for Tyler Tx ASC LLC is 1689353823. It was assigned to this organization in the NPPES registry on July 14, 2023.

Where is Tyler Tx ASC LLC located?

Tyler Tx ASC LLC is located at 4801 Troup Hwy Ste 800, Tyler, TX 75703. The listed phone number is (903) 363-1558.

What is Tyler Tx ASC LLC's specialty?

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

Does Tyler Tx ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2289512) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tyler Tx ASC LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Tyler Tx ASC 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 Tyler Tx ASC LLC was last updated on July 17, 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.