THR/STT SOUTHLAKE ASC, LLC
NPI 1982716106
Clinic/Center - Ambulatory Surgical in Southlake, TX

Q: What is Thr/Stt Southlake ASC, LLC's NPI number?

The NPI number for Thr/Stt Southlake ASC, LLC is 1982716106. It was assigned to this organization in the NPPES registry on September 1, 2006.

Q: What is Thr/Stt Southlake ASC, LLC's specialty?

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

Active since September 01, 2006CLIA 45D1071988 · Waiver

290 MIRON DR, SOUTHLAKE, TX 76092(817) 442-9300(817) 416-0108 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Thr/stt Southlake Asc, Llc NPPES

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

THR/STT SOUTHLAKE ASC, LLC (NPI 1982716106) is a healthcare organization registered as an ambulatory surgical in Southlake, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists Mark Gatley Hebard, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982716106

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameTHR/STT SOUTHLAKE ASC, LLC

Location Address290 MIRON DRSouthlake, TX 76092-7858

Mailing Address1545 E Southlake Blvd, Suite 100Southlake, TX 76092 · (817) 442-9300 · Fax (817) 416-0108

Phone(817) 442-9300

Fax(817) 416-0108

Organization SubpartNo

Authorized OfficialMark Gatley HebardCeo · (817) 442-9300

Enumeration DateSeptember 1, 2006

Last NPPES UpdateSeptember 30, 2024

NPPES CertifiedSeptember 30, 2024

✔ NPI 1982716106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in TX · 00000

290 MIRON DR, Southlake, TX 76092

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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 Texas, Imperial Insurance Companies, Inc..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 45D1071988

Thr/Stt Southlake ASC, LLC · Southlake, TX

Active · expires Aug 6, 2027

CLIA Number45D1071988

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateAugust 7, 2025

Certificate Expiration DateAugust 6, 2027

Laboratory DirectorRyan S. Reeves

Laboratory Phone(817) 442-9300

Laboratory LocationThr/Stt Southlake ASC, LLC290 Miron Grove, Southlake, TX 76092

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

890 services456 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

365 services134 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

177 services105 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

147 services64 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

132 services91 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

109 services84 patients

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 Thr/Stt Southlake ASC, LLC's NPI number?

The NPI number for Thr/Stt Southlake ASC, LLC is 1982716106. It was assigned to this organization in the NPPES registry on September 1, 2006.

Where is Thr/Stt Southlake ASC, LLC located?

Thr/Stt Southlake ASC, LLC is located at 290 Miron Dr, Southlake, TX 76092. The listed phone number is (817) 442-9300.

What is Thr/Stt Southlake ASC, LLC's specialty?

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

Does Thr/Stt Southlake ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1071988) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thr/Stt Southlake ASC, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Thr/Stt Southlake ASC, 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 Thr/Stt Southlake ASC, LLC was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.