AVON MARKETPLACE ASC, LLC
NPI 1750129417
Clinic/Center - Ambulatory Surgical in Avon, IN

Active since July 17, 2024CLIA 15D2316763 · Waiver
156 AVON MARKET PL, AVON, IN 46123(317) 983-4103 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avon Marketplace Asc, Llc NPPES

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

AVON MARKETPLACE ASC, LLC (NPI 1750129417), doing business as West Indy Surgery Center, is a healthcare organization registered as an ambulatory surgical in Avon, Indiana and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Schaefer Jon, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1750129417
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAVON MARKETPLACE ASC, LLC
Location Address156 AVON MARKET PLAvon, IN 46123-6019
Mailing AddressPo Box 308Zionsville, IN 46077-0308 · (317) 983-4103
Organization SubpartNo
Authorized OfficialSchaefer JonChief Executive Officer · (317) 201-1038
Enumeration DateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
NPI 1750129417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
156 AVON MARKET PL, Avon, IN 46123

Other Names 1

Doing Business AsWest Indy Surgery Center

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 15D2316763

Avon Marketplace ASC, LLC Dba West Indy Surgery Center · Avon, IN
Active · expires Jan 12, 2027
CLIA Number15D2316763
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorRonald S. Suh
Laboratory Phone(317) 559-2298
Laboratory LocationAvon Marketplace ASC, LLC Dba West Indy Surgery Center156 Avon Marketplace, Avon, IN 46123
CLIA data matches this NPI record on: Name
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.

Specialist/Technologist, Other (Surgical Assistant)
156 AVON MARKET PL
AVON, IN 46123
Clinic/Center (Ambulatory Surgical)
156 AVON MARKET PL
AVON, IN 46123

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 Avon Marketplace ASC, LLC's NPI number?

The NPI number for Avon Marketplace ASC, LLC is 1750129417. It was assigned to this organization in the NPPES registry on July 17, 2024. The provider is doing business as West Indy Surgery Center.

Where is Avon Marketplace ASC, LLC located?

Avon Marketplace ASC, LLC is located at 156 Avon Market Pl, Avon, IN 46123. The listed phone number is (317) 983-4103.

What is Avon Marketplace ASC, LLC's specialty?

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

Does Avon Marketplace ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2316763) is associated with this NPI, valid through January 12, 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 Avon Marketplace ASC, LLC was last updated on July 17, 2024. 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.