Central Louisiana Ambulatory Surgical Center LLC

Organization Active NPI Ambulatory Surgical Clinic/Center · Alexandria, LA

NPI 1720118102 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1720118102
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
CENTRAL LOUISIANA AMBULATORY SURGICAL CENTER LLC
Practice address
651 N Bolton Ave
Alexandria, LA 71301-7449
Phone
(318) 443-3511
Fax
(318) 443-5628
NPI assigned
Mar 6, 2007
Organization subpart
No

Authorized official

Name
Don Liedtke
Title
Cfo
Phone
(615) 344-5507

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

651 N Bolton Ave
Alexandria, LA 71301-7449

Mailing address

651 N Bolton Ave
Alexandria, LA 71301-7449
Phone (318) 443-3511

Other providers in Alexandria, LA

All providers in Alexandria, LA · Ambulatory Surgical Clinic/Center in Louisiana

Sources for this page

Verify at the official NPI Registry.