WACO ENDOSCOPY CENTER, LLC
NPI 1912746264
Clinic/Center - Ambulatory Surgical in Waco, TX

Active since May 24, 2024CLIA 45D2307420 · Waiver
2510 AMBASSADOR DRIVE, SUITE A, WACO, TX 76712(817) 893-2381 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waco Endoscopy Center, Llc NPPES

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

WACO ENDOSCOPY CENTER, LLC (NPI 1912746264) is a healthcare organization registered as an ambulatory surgical in Waco, Texas and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Kelly Rouvaldt, Director Of Ascs, as its authorized official.

NPPES Registry Identity

NPI1912746264
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWACO ENDOSCOPY CENTER, LLC
Location Address2510 AMBASSADOR DRIVE, SUITE AWaco, TX 76712
Mailing Address550 Reserve St Ste 550Southlake, TX 76092-1604 · (817) 893-2381
Organization SubpartYesParent: Gi Alliance Surgery Center, Pllc
Authorized OfficialKelly RouvaldtDirector Of Ascs · (817) 893-2381
Enumeration DateMay 24, 2024
NPPES CertifiedMay 17, 2024
NPI 1912746264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2510 AMBASSADOR DRIVE, Waco, TX 76712

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 45D2307420

Waco Endoscopy Center, LLC · Waco, TX
Active · expires Jul 8, 2028
CLIA Number45D2307420
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorJames Weber
Laboratory Phone(817) 893-2381
Laboratory LocationWaco Endoscopy Center, LLC2510 Ambassador Drive Suite A, Waco, TX 76712
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 Waco Endoscopy Center, LLC's NPI number?

The NPI number for Waco Endoscopy Center, LLC is 1912746264. It was assigned to this organization in the NPPES registry on May 24, 2024.

Where is Waco Endoscopy Center, LLC located?

Waco Endoscopy Center, LLC is located at 2510 Ambassador Drive Suite A, Waco, TX 76712. The listed phone number is (817) 893-2381.

What is Waco Endoscopy Center, LLC's specialty?

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

Does Waco Endoscopy Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2307420) is associated with this NPI, valid through July 8, 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 Waco Endoscopy Center, LLC was last updated on May 24, 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.