GRANT AMBULATORY SURGERY CENTER, LLC
NPI 1700606340
Clinic/Center - Ambulatory Surgical in Marion, IN

Active since October 16, 2024CLIA 15D2317630 · Waiver
803 W GARDNER DR, MARION, IN 46952(765) 651-4278(765) 664-6445 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2025, Sep 4, 2025, Dec 3, 2024 (3 updates tracked since 2024).

About Grant Ambulatory Surgery Center, Llc NPPES

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

GRANT AMBULATORY SURGERY CENTER, LLC (NPI 1700606340), doing business as Grant Surgical Services, is a healthcare organization registered as an ambulatory surgical in Marion, Indiana and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Timothy Grant Gillum, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1700606340
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRANT AMBULATORY SURGERY CENTER, LLC
Location Address803 W GARDNER DRMarion, IN 46952-1819
Mailing Address801 W Gardner DrMarion, IN 46952-1819 · (765) 651-4278 · Fax (765) 664-6445
Fax(765) 664-6445
Organization SubpartNo
Authorized OfficialTimothy Grant GillumPhysician/owner · (765) 651-4278
Enumeration DateOctober 16, 2024
Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1700606340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X

Other Names 1

Doing Business AsGrant Surgical Services

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 15D2317630

Grant Ambulatory Surgery Center · Marion, IN
Active · expires Jan 27, 2027
CLIA Number15D2317630
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorJayme L. Miller
Laboratory Phone(765) 651-4278
Laboratory LocationGrant Ambulatory Surgery Center803 West Gardner Dr, Marion, IN 46952
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 4

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

Nurse Anesthetist, Certified Registered
803 W GARDNER DR
MARION, IN 46952
Dentist (Pediatric Dentistry)
803 W GARDNER DR
MARION, IN 46952
Dentist (Pediatric Dentistry)
803 W GARDNER DR
MARION, IN 46952
Dentist (Pediatric Dentistry)
803 W GARDNER DR
MARION, IN 46952

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 Grant Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Grant Ambulatory Surgery Center, LLC is 1700606340. It was assigned to this organization in the NPPES registry on October 16, 2024. The provider is doing business as Grant Surgical Services.

Where is Grant Ambulatory Surgery Center, LLC located?

Grant Ambulatory Surgery Center, LLC is located at 803 W Gardner Dr, Marion, IN 46952. The listed phone number is (765) 651-4278.

What is Grant Ambulatory Surgery Center, LLC's specialty?

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

Does Grant Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2317630) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grant Ambulatory Surgery Center, LLC was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.