NPIMap

Organization Active NPI

Arklamiss Surgery Center,LLC

  • Ambulatory Surgical Clinic/Center
  • Monroe, LA
National Provider Identifier
1891724936
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
142 Issued in LA
Legal business name
ARKLAMISS SURGERY CENTER,LLC
Practice address
210 Layton Ave Ste 10
Monroe, LA 71201-8548
Phone
(318) 807-0206
Fax
(318) 651-7422
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Chase C Soong
Title
Ceo/Administrator
Phone
(318) 807-0206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 142 LA Primary

Addresses

Primary practice location

210 Layton Ave Ste 10
Monroe, LA 71201-8548

Mailing address

PO Box 3188
Monroe, LA 71210-3188
Phone (318) 807-0206

Other identifiers 1

IdentifierTypeStateIssuer
1372072MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060307000584 LA Part B Supplier - Ambulatory Surgical Center 4880601418 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, LA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Arklamiss Surgery Center LLCCCN 19C0001105
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
19D1045736Arklamiss Surgery Center210 Layton Avenue, Monroe, LA 71201Certificate of waiverSep 20, 2027

National Provider Directory

National Provider Directory

Locations

210 Layton Ave
#10
Monroe, LA 71201
Phone (318) 807-0206

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891724936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3188",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712103188",
            "telephone_number": "318-807-0206",
            "fax_number": "318-651-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LAYTON AVE STE 10",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018548",
            "telephone_number": "318-807-0206",
            "fax_number": "318-651-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKLAMISS SURGERY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOONG",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "318-807-0206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1372072",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.