ALLIANCE SURGERY CENTER, LLC
NPI 1699328146
Clinic/Center - Ambulatory Surgical in Traverse City, MI

Active since July 23, 2019CLIA 23D2169942 · Waiver
3663 NORTH COUNTRY DRIVE, TRAVERSE CITY, MI 49684(231) 499-4419 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 9, 2021, Jul 23, 2019 (2 updates tracked since 2019).

About Alliance Surgery Center, Llc NPPES

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

ALLIANCE SURGERY CENTER, LLC (NPI 1699328146) is a healthcare organization registered as an ambulatory surgical in Traverse City, Michigan and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Tricia Inglis Wollam, Clinical Administrator, as its authorized official.

NPPES Registry Identity

NPI1699328146
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameALLIANCE SURGERY CENTER, LLC
Location Address3663 NORTH COUNTRY DRIVETraverse City, MI 49684-4587
Mailing Address3663 N Country DriveTraverse City, MI 49684-4587 · (231) 252-1228
Organization SubpartNo
Authorized OfficialTricia Inglis WollamClinical Administrator · (231) 252-1228
Enumeration DateJuly 23, 2019
Last NPPES UpdateDecember 9, 20212 updates tracked since enumeration
NPPES CertifiedDecember 9, 2021
NPI 1699328146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3663 NORTH COUNTRY DRIVE, Traverse City, MI 49684

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 23D2169942

Alliance Surgery Center · Traverse City, MI
Active · expires Jul 30, 2027
CLIA Number23D2169942
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorBrent Wiersema
Laboratory Phone(231) 252-1228
Laboratory LocationAlliance Surgery Center3663 N Country Drive, Traverse City, MI 49684
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 13

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.

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg C9088
Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.
15,600 services39 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
203 services192 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
158 services155 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
103 services100 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
83 services83 patients
Removal of extensive shoulder joint tissue using an endoscope 29823
This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
53 services53 patients

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 Alliance Surgery Center, LLC's NPI number?

The NPI number for Alliance Surgery Center, LLC is 1699328146. It was assigned to this organization in the NPPES registry on July 23, 2019.

Where is Alliance Surgery Center, LLC located?

Alliance Surgery Center, LLC is located at 3663 North Country Drive, Traverse City, MI 49684. The listed phone number is (231) 499-4419.

What is Alliance Surgery Center, LLC's specialty?

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

Does Alliance Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2169942) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alliance Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Alliance Surgery 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 Alliance Surgery Center, LLC was last updated on December 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.