Active NPI
Advanced Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Dearborn, MI
National Provider Identifier
1942646435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ADVANCED SURGERY CENTER LLC
- Practice address
- 13530 Michigan Ave
Suite 100
Dearborn, MI 48126-3574 - Phone
- (734) 770-2433
- NPI assigned
- May 11, 2013
- 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
- Linda Therese Prister
- Title
- Administrator
- Phone
- (313) 582-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
13530 Michigan Ave
Suite 100
Dearborn, MI 48126-3574
Mailing address
13530 Michigan Ave Ste 100
Dearborn, MI 48126-3555
Phone (313) 582-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131007000820 | MI | Part B Supplier - Ambulatory Surgical Center | 4688808603 | Practice locations: Dearborn, MI |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Advanced Surgery Center LLC
- 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 |
|---|---|---|---|
| 23D2059235 | Advanced Surgery Center | Certificate of waiver | May 20, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Dearborn, MI
- NPI 1013180322
-
- Otolaryngology/Facial Plastic Surgery Physician
- Dearborn, MI
- NPI 1629247481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1942646435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13530 MICHIGAN AVE STE 100",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263555",
"telephone_number": "313-582-7777",
"fax_number": "313-914-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13530 MICHIGAN AVE",
"address_2": "SUITE 100",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263574",
"telephone_number": "734-770-2433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-11",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "PRISTER",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "THERESE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "313-582-7777"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.