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SOMA, LLC
NPI 1962363960
Surgery in Clive, IA

Active since November 19, 2025CLIA 16D2320017 · Waiver
12107 STRATFORD DR, CLIVE, IA 50325(515) 395-7661(515) 395-7663 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, Nov 19, 2025 (2 updates tracked since 2025).

About Soma, Llc NPPES

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

SOMA, LLC (NPI 1962363960), doing business as Soma Cosmetic Surgery & Aesthetics, is a healthcare organization registered as a surgery in Clive, Iowa and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Harry M Condoleon, Owner/cosmetic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1962363960
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOMA, LLC
Location Address12107 STRATFORD DRClive, IA 50325-8146
Mailing Address12107 Stratford DrClive, IA 50325-8146 · (515) 395-7661 · Fax (515) 395-7663
Phone(515) 395-7661
Fax(515) 395-7663
Organization SubpartNo
Authorized OfficialHarry M CondoleonOwner/cosmetic Surgeon · (515) 320-0916
Enumeration DateNovember 19, 2025
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1962363960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
12107 STRATFORD DR, Clive, IA 50325
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Other Names 1

Doing Business AsSoma Cosmetic Surgery & Aesthetics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 16D2320017

Soma Cosmetic Surgery And Aesthetics · Clive, IA
Active · expires Mar 10, 2027
CLIA Number16D2320017
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorHarry Condoleon
Laboratory Phone(515) 395-7661
Laboratory LocationSoma Cosmetic Surgery And Aesthetics12107 Stratford Dr, Clive, IA 50325
CLIA data matches this NPI record on: Address 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.

ALEXANDRIA FRANCES CRITELLI
Nurse Practitioner (Women's Health)
12107 STRATFORD DR
CLIVE, IA 50325
Polk County (515) 395-7661
KAYLEE BOELTER
Nurse Practitioner (Adult Health)
12107 STRATFORD DR
CLIVE, IA 50325
Polk County (515) 395-7661

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 Soma, LLC's NPI number?

The NPI number for Soma, LLC is 1962363960. It was assigned to this organization in the NPPES registry on November 19, 2025. The provider is doing business as SOMA Cosmetic Surgery & Aesthetics.

Where is Soma, LLC located?

Soma, LLC is located at 12107 Stratford Dr, Clive, IA 50325. The listed phone number is (515) 395-7661.

What is Soma, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Soma, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2320017) is associated with this NPI, valid through March 10, 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 Soma, LLC was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.