FELLOWSHIP SURGICAL CENTER LLC
NPI 1952623936
Clinic/Center - Ambulatory Surgical in Mount Laurel, NJ

Active since February 18, 2010CLIA 31D1068009 · Waiver
715 FELLOWSHIP RD, SUITE A, MOUNT LAUREL, NJ 08054(856) 316-4600 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fellowship Surgical Center Llc NPPES

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

FELLOWSHIP SURGICAL CENTER LLC (NPI 1952623936) is a healthcare organization registered as an ambulatory surgical in Mount Laurel, New Jersey and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists William B, Miller, Manager, as its authorized official.

NPPES Registry Identity

NPI1952623936
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFELLOWSHIP SURGICAL CENTER LLC
Location Address715 FELLOWSHIP RD, SUITE AMount Laurel, NJ 08054-1052
Mailing Address715 Fellowship Rd, Suite AMount Laurel, NJ 08054-1052
Organization SubpartNo
Authorized OfficialWilliam B, MillerManager · (856) 316-4600
Enumeration DateFebruary 18, 2010
NPI 1952623936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
715 FELLOWSHIP RD, Mount Laurel, NJ 08054

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 31D1068009

Fellowship Surgical Center · Mount Laurel, NJ
Active · expires Apr 30, 2027
CLIA Number31D1068009
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorJeffrey Gordon
Laboratory Phone(856) 316-4600
Laboratory LocationFellowship Surgical Center715 Fellowship Road Suite A, Mount Laurel, NJ 08054
CLIA data matches this NPI record on: Address 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.

Surgery (Plastic and Reconstructive Surgery)
715 FELLOWSHIP RD
MOUNT LAUREL, NJ 08054
Clinic/Center (Ambulatory Surgical)
715 FELLOWSHIP RD, SUITE A
MOUNT LAUREL, NJ 08054

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 Fellowship Surgical Center LLC's NPI number?

The NPI number for Fellowship Surgical Center LLC is 1952623936. It was assigned to this organization in the NPPES registry on February 18, 2010.

Where is Fellowship Surgical Center LLC located?

Fellowship Surgical Center LLC is located at 715 Fellowship Rd Suite A, Mount Laurel, NJ 08054. The listed phone number is (856) 316-4600.

What is Fellowship Surgical Center LLC's specialty?

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

Does Fellowship Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1068009) is associated with this NPI, valid through April 30, 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 Fellowship Surgical Center LLC was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.