NPIMap

Organization Active NPI

Elite Surgial, LLC

  • Surgical Technologist
  • La France, SC
National Provider Identifier
1831463850
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
92776 Issued in NU
Legal business name
ELITE SURGIAL, LLC
Practice address
21 Circle Street
La France, SC 29656-0301
Phone
(864) 978-9636
NPI assigned
Mar 8, 2012
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Mr. Bruce Alan Smith Jr.
Title
Owner
Phone
(864) 978-9636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 92776 NU Primary

Addresses

Primary practice location

21 Circle Street
La France, SC 29656-0301

Mailing address

PO Box 301
La France, SC 29656-0301
Phone (864) 978-9636

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1831463850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "LA FRANCE",
            "state": "SC",
            "postal_code": "296560301",
            "telephone_number": "864-978-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CIRCLE STREET",
            "city": "LA FRANCE",
            "state": "SC",
            "postal_code": "296560301",
            "telephone_number": "864-978-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SURGIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-978-9636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NU",
            "license": "92776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La France, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.