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SOUTH BEND SPECIALTY SURGERY CENTER, LLC
NPI 1992058325
Clinic/Center - Ambulatory Surgical in Granger, IN

Active since October 23, 2012CLIA 15D2048946 · Waiver
335 FLORENCE AVE, SUITE 1B, GRANGER, IN 46530(574) 217-0058(574) 272-3901 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Bend Specialty Surgery Center, Llc NPPES

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

SOUTH BEND SPECIALTY SURGERY CENTER, LLC (NPI 1992058325) is a healthcare organization registered as an ambulatory surgical in Granger, Indiana and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Ralph E Lantz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1992058325
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTH BEND SPECIALTY SURGERY CENTER, LLC
Location Address335 FLORENCE AVE, SUITE 1BGranger, IN 46530-8049
Mailing Address335 Florence Ave, Suite 1bGranger, IN 46530-8049 · (574) 217-0058 · Fax (574) 272-3901
Phone(574) 217-0058
Fax(574) 272-3901
Organization SubpartNo
Authorized OfficialRalph E LantzAdministrator · (574) 606-6329
Enumeration DateOctober 23, 2012
Last NPPES UpdateJuly 17, 2013
✔ NPI 1992058325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
335 FLORENCE AVE, Granger, IN 46530
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 15D2048946

South Bend Specialty Surgery Center, LLC · Granger, IN
Active · expires Oct 25, 2026
CLIA Number15D2048946
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorJohn Gilbert
Laboratory Phone(574) 217-0058
Laboratory LocationSouth Bend Specialty Surgery Center, LLC335 Florence Ave, Ste 1B, Granger, IN 46530
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

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 substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
157 services117 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.
144 services45 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.
68 services38 patients
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.
64 services39 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.
50 services29 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.
41 services12 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 South Bend Specialty Surgery Center, LLC's NPI number?

The NPI number for South Bend Specialty Surgery Center, LLC is 1992058325. It was assigned to this organization in the NPPES registry on October 23, 2012.

Where is South Bend Specialty Surgery Center, LLC located?

South Bend Specialty Surgery Center, LLC is located at 335 Florence Ave Suite 1B, Granger, IN 46530. The listed phone number is (574) 217-0058.

What is South Bend Specialty Surgery Center, LLC's specialty?

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

Does South Bend Specialty Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2048946) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Bend Specialty Surgery Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list South Bend Specialty 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 South Bend Specialty Surgery Center, LLC was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.