Organization Active NPI

SSL Endoscopy Center LLC

Doing business as AVALA Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Metairie, LA
National Provider Identifier
1811512734
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SSL ENDOSCOPY CENTER LLC
Doing business as
AVALA Surgery Center
Galleria Endoscopy Center
Practice address
3100 Galleria Dr Ste 305
Metairie, LA 70001-2196
Phone
(504) 699-7690
Fax
(504) 553-1221
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lori Frey
Title
Director Revenue Cycle
Phone
(985) 801-6258

Specialties & licenses 1

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

Addresses

Primary practice location

3100 Galleria Dr Ste 305
Metairie, LA 70001-2196

Mailing address

67252 Industry LN
Covington, LA 70433-8704
Phone (985) 801-6258

Other names 2

  • AVALA Surgery Center Doing business as
  • Galleria Endoscopy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211021001476 LA Part B Supplier - Ambulatory Surgical Center 8820486095 Practice locations: Metairie, LA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
SSL Endoscopy Center LLC Dba Avala Surgery CenterCCN 19C0001147
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2187988SSL Endoscopy Center LLC3100 Galleria Dr, Ste 305, Metairie, LA 70001Certificate of waiverJul 9, 2028

National Provider Directory

National Provider Directory

Locations

7015 Highway 190 East Service Rd
Ste 200
Covington, LA 70433
Phone (985) 234-3000

3100 Galleria Dr
#305
Metairie, LA 70001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1811512734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67252 INDUSTRY LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338704",
            "telephone_number": "985-801-6258",
            "fax_number": "985-801-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GALLERIA DR STE 305",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012196",
            "telephone_number": "504-699-7690",
            "fax_number": "504-553-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSL ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "985-801-6258"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVALA Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Galleria Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.