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TRILLIUM SURGERY LLC
NPI 1730958067
Clinic/Center - Ambulatory Surgical in Gahanna, OH

Active since December 28, 2023CLIA 36D2298351 · Waiver
680 BUCKLES CT N, GAHANNA, OH 43230(614) 729-8483 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Trillium Surgery Llc NPPES

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

TRILLIUM SURGERY LLC (NPI 1730958067) is a healthcare organization registered as an ambulatory surgical in Gahanna, Ohio and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Srikrishna Mannava, Owner, as its authorized official.

NPPES Registry Identity

NPI1730958067
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTRILLIUM SURGERY LLC
Location Address680 BUCKLES CT NGahanna, OH 43230-6924
Mailing Address680 Buckles Ct N Ste 2dGahanna, OH 43230-6924 · (614) 729-8483
Phone(614) 729-8483
Organization SubpartNo
Authorized OfficialSrikrishna MannavaOwner · (614) 729-8483
Enumeration DateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1730958067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
680 BUCKLES CT N, Gahanna, OH 43230
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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 36D2298351

Trillium Surgery, LLC · Gahanna, OH
Active · expires Jan 31, 2028
CLIA Number36D2298351
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorSrikrishna Mannava
Laboratory Phone(614) 354-2462
Laboratory LocationTrillium Surgery, LLC680 Buckles Court North, Suite 2D, Gahanna, OH 43230
CLIA data matches this NPI record on: Address Name
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 Trillium Surgery LLC's NPI number?

The NPI number for Trillium Surgery LLC is 1730958067. It was assigned to this organization in the NPPES registry on December 28, 2023.

Where is Trillium Surgery LLC located?

Trillium Surgery LLC is located at 680 Buckles Ct N, Gahanna, OH 43230. The listed phone number is (614) 729-8483.

What is Trillium Surgery LLC's specialty?

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

Does Trillium Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2298351) is associated with this NPI, valid through January 31, 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 Trillium Surgery LLC was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.