MID-CITIES AMBULATORY SURGERY CENTER LLC
NPI 1871253625
Clinic/Center - Ambulatory Surgical in Bentonville, AR

Q: What is Mid-Cities Ambulatory Surgery Center LLC's specialty?

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

Active since December 21, 2021CLIA 04D2258239 · Waiver

2902 MID CITIES DR, BENTONVILLE, AR 72712(844) 215-0731(888) 630-8885 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 18, 2022, Dec 21, 2021 (2 updates tracked since 2021).

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About Mid-cities Ambulatory Surgery Center Llc NPPES

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

MID-CITIES AMBULATORY SURGERY CENTER LLC (NPI 1871253625) is a healthcare organization registered as an ambulatory surgical in Bentonville, Arkansas and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through April 18, 2028 and lists Elizabeth Waddell, Ed Of Surgical Services, as its authorized official.

NPPES Registry Identity

NPI1871253625

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMID-CITIES AMBULATORY SURGERY CENTER LLC

Location Address2902 MID CITIES DRBentonville, AR 72712-4020

Mailing Address108 N Shackleford RdLittle Rock, AR 72211-2840 · (844) 215-0731 · Fax (501) 404-7789

Phone(844) 215-0731

Fax(888) 630-8885

Organization SubpartNo

Authorized OfficialElizabeth WaddellEd Of Surgical Services · (501) 766-1065

Enumeration DateDecember 21, 2021

Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2022

✔ NPI 1871253625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2902 MID CITIES DR, Bentonville, AR 72712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, 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 04D2258239

Mid-Cities Ambulatory Surgery Center, LLC · Bentonville, AR

Active · expires Apr 18, 2028

CLIA Number04D2258239

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 19, 2026

Certificate Expiration DateApril 18, 2028

Laboratory DirectorMs. Elizabeth Wadell

Laboratory Phone(501) 766-1065

Laboratory LocationMid-Cities Ambulatory Surgery Center, LLC2902 SE Mid-Cities Drive, Bentonville, AR 72712

CLIA data matches this NPI record on: Name Phone

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.

BENTONVILLE AMBULATORY SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

2902 MID CITIES DR
BENTONVILLE, AR 72712

Benton County (844) 215-0731

PAIN TREATMENT CENTERS OF AMERICA, PLLC

Durable Medical Equipment & Medical Supplies

2902 MID CITIES DR
BENTONVILLE, AR 72712

Benton County (501) 712-2571

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 Mid-Cities Ambulatory Surgery Center LLC's NPI number?

The NPI number for Mid-Cities Ambulatory Surgery Center LLC is 1871253625. It was assigned to this organization in the NPPES registry on December 21, 2021.

Where is Mid-Cities Ambulatory Surgery Center LLC located?

Mid-Cities Ambulatory Surgery Center LLC is located at 2902 Mid Cities Dr, Bentonville, AR 72712. The listed phone number is (844) 215-0731.

What is Mid-Cities 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 Mid-Cities Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2258239) is associated with this NPI, valid through April 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mid-Cities Ambulatory Surgery Center LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Mid-Cities Ambulatory Surgery Center 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 Mid-Cities Ambulatory Surgery Center LLC was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.