Active NPI
SSL Endoscopy Center LLC
Doing business as AVALA Surgery Center
- Ambulatory Surgical Clinic/Center
- Metairie, LA
National Provider Identifier
1811512734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Galleria Endoscopy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2187988 | SSL Endoscopy Center LLC | Certificate of waiver | Jul 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Covington, LA
- NPI 1609837087
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.