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DOMAIN SURGICAL, LLC
NPI 1780167866
Clinic/Center - Ambulatory Surgical in Amarillo, TX

Active since September 13, 2018CLIA 45D2168831 · Waiver
2300 WOLFLIN AVE, AMARILLO, TX 79109(806) 350-5437(806) 350-5438 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Domain Surgical, Llc NPPES

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

DOMAIN SURGICAL, LLC (NPI 1780167866) is a healthcare organization registered as an ambulatory surgical in Amarillo, Texas and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Angela Kathleen Hess, General Director, as its authorized official.

NPPES Registry Identity

NPI1780167866
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameDOMAIN SURGICAL, LLC
Location Address2300 WOLFLIN AVEAmarillo, TX 79109-1832
Mailing Address2455 I 40 WAmarillo, TX 79109-1852 · (806) 350-5437 · Fax (806) 350-5438
Phone(806) 350-5437
Fax(806) 350-5438
Organization SubpartNo
Authorized OfficialAngela Kathleen HessGeneral Director · (806) 670-5318
Enumeration DateSeptember 13, 2018
✔ NPI 1780167866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2300 WOLFLIN AVE, Amarillo, TX 79109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 45D2168831

Domain Surgical, LLC · Amarillo, TX
Active · expires Jul 9, 2027
CLIA Number45D2168831
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorJeremy M. Gibson-Roark
Laboratory Phone(806) 398-2540
Laboratory LocationDomain Surgical, LLC2300 Wolflin Ave, Amarillo, TX 79109
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
Dentist (Pediatric Dentistry)
2300 WOLFLIN AVE
AMARILLO, TX 79109
Randall County (806) 398-2536
AMANDEEP K PENTLIA DDS
Dentist (Pediatric Dentistry)
2300 WOLFLIN AVE
AMARILLO, TX 79109
Randall County (806) 350-5437
NAHIMAR DAVIS DMD
Dentist (General Practice)
2300 WOLFLIN AVE
AMARILLO, TX 79109
Randall County (806) 350-5437
DR. JONATHAN ALEXANDER MCNAIR D.D.S.
Dentist (Pediatric Dentistry)
2300 WOLFLIN AVE
AMARILLO, TX 79109
Randall County (806) 381-3113
IVAN ESTRADA
Dentist (Pediatric Dentistry)
2300 WOLFLIN AVE
AMARILLO, TX 79109
Randall County (806) 350-5437

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 Domain Surgical, LLC's NPI number?

The NPI number for Domain Surgical, LLC is 1780167866. It was assigned to this organization in the NPPES registry on September 13, 2018.

Where is Domain Surgical, LLC located?

Domain Surgical, LLC is located at 2300 Wolflin Ave, Amarillo, TX 79109. The listed phone number is (806) 350-5437.

What is Domain Surgical, LLC's specialty?

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

Does Domain Surgical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2168831) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Domain Surgical, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Domain Surgical, 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 Domain Surgical, LLC was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.