Organization Active NPI

Infinity ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Wilmington, DE
National Provider Identifier
1922706365
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
INFINITY ASC LLC
Practice address
910 N Union St Ste 1
Wilmington, DE 19805-5334
Phone
(610) 360-0636
NPI assigned
Feb 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Carolyn Von Rahder
Title
Adminstrator
Phone
(610) 360-0636

Specialties & licenses 1

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

Addresses

Primary practice location

910 N Union St Ste 1
Wilmington, DE 19805-5334

Mailing address

910 N Union St Ste 1
Wilmington, DE 19805-5334
Phone (610) 360-0636

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1922706365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N UNION ST STE 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198055334",
            "telephone_number": "610-360-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N UNION ST STE 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198055334",
            "telephone_number": "610-360-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "VON RAHDER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "610-360-0636"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.