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SURGERY CENTER ON BLUEFIELD LLC
NPI 1841019775
Clinic/Center - Ambulatory Surgical in Mooresville, NC

Active since October 08, 2024CLIA 34D2229008 · Waiver
653 BLUEFIELD RD STE D, MOORESVILLE, NC 28117(704) 360-6470(704) 746-0009 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surgery Center On Bluefield Llc NPPES

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

SURGERY CENTER ON BLUEFIELD LLC (NPI 1841019775) is a healthcare organization registered as an ambulatory surgical in Mooresville, North Carolina and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through July 5, 2027 and lists Earl Safin, Operations, as its authorized official.

NPPES Registry Identity

NPI1841019775
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER ON BLUEFIELD LLC
Location Address653 BLUEFIELD RD STE DMooresville, NC 28117-9626
Mailing AddressPo Box 1828Statesville, NC 28687-1828 · (704) 360-6470
Phone(704) 360-6470
Fax(704) 746-0009
Organization SubpartNo
Authorized OfficialEarl SafinOperations · (704) 878-7786
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 8, 2024
✔ NPI 1841019775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
653 BLUEFIELD RD STE D, Mooresville, NC 28117
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 34D2229008

Surgery Center On Bluefield · Mooresville, NC
Active · expires Jul 5, 2027
CLIA Number34D2229008
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorHerbert L. Wettreich
Laboratory Phone(704) 360-6470
Laboratory LocationSurgery Center On Bluefield653 Bluefield Rd Suite D, Mooresville, NC 28117
CLIA data matches this NPI record on: Address Name Phone
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 Surgery Center On Bluefield LLC's NPI number?

The NPI number for Surgery Center On Bluefield LLC is 1841019775. It was assigned to this organization in the NPPES registry on October 8, 2024.

Where is Surgery Center On Bluefield LLC located?

Surgery Center On Bluefield LLC is located at 653 Bluefield Rd Ste D, Mooresville, NC 28117. The listed phone number is (704) 360-6470.

What is Surgery Center On Bluefield LLC's specialty?

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

Does Surgery Center On Bluefield LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2229008) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center On Bluefield LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Surgery Center On Bluefield 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 Surgery Center On Bluefield LLC was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.