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SKIN CANCER SURGERY CENTER LLC
NPI 1699407643
Clinic/Center - Ambulatory Surgical in O Fallon, IL

Active since June 28, 2022CLIA 14D2274298 · Waiver
331 REGENCY PARK, O FALLON, IL 62269(618) 622-7546(618) 227-0098 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Skin Cancer Surgery Center Llc NPPES

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

SKIN CANCER SURGERY CENTER LLC (NPI 1699407643) is a healthcare organization registered as an ambulatory surgical in O Fallon, Illinois and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Jamie L Mcginness, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1699407643
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSKIN CANCER SURGERY CENTER LLC
Location Address331 REGENCY PARKO Fallon, IL 62269-1887
Mailing Address331 Regency ParkO Fallon, IL 62269-1887 · (618) 622-7546 · Fax (618) 227-0098
Phone(618) 622-7546
Fax(618) 227-0098
Organization SubpartNo
Authorized OfficialJamie L McginnessOwner/medical Director · (618) 622-7546
Enumeration DateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1699407643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
331 REGENCY PARK, O Fallon, IL 62269
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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 14D2274298

Skin Cancer Surgery Center, LLC · O Fallon, IL
Active · expires Dec 29, 2026
CLIA Number14D2274298
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorJamie L. Mcginness
Laboratory Phone(618) 622-7546
Laboratory LocationSkin Cancer Surgery Center, LLC331 Regency Park, O Fallon, IL 62269
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

METRO EAST DERMATOLOGY & SKIN CANCER CENTER LLC
Dermatology
331 REGENCY PARK
SHILOH, IL 62269
St. Clair County (618) 622-7546
NEVE LILLIAN FIELDING PA-C
Physician Assistant
331 REGENCY PARK
O FALLON, IL 62269
St. Clair County (618) 622-7546

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 Skin Cancer Surgery Center LLC's NPI number?

The NPI number for Skin Cancer Surgery Center LLC is 1699407643. It was assigned to this organization in the NPPES registry on June 28, 2022.

Where is Skin Cancer Surgery Center LLC located?

Skin Cancer Surgery Center LLC is located at 331 Regency Park, O Fallon, IL 62269. The listed phone number is (618) 622-7546.

What is Skin Cancer Surgery Center LLC's specialty?

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

Does Skin Cancer Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2274298) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skin Cancer Surgery Center LLC was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.