CHARLOTTE SURGERY CENTER, LLC – NPI #1124594338
Clinic/Center

CHARLOTTE SURGERY CENTER, LLC is an AHC clinic located in CHARLOTTE, NC. NPPES has assigned the NPI number 1124594338 to CHARLOTTE SURGERY CENTER, LLC on October 16, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLOTTE SURGERY CENTER, LLC below.

NPI Profile for
CHARLOTTE SURGERY CENTER, LLC

NPI Number
1124594338
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLOTTE SURGERY CENTER, LLC
Primary location
3621 RANDOLPH RD STE 200
CHARLOTTE, NC 28211-0027
Phone: (704) 377-1647 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - CHARLOTTE SURGERY CENTER, LLC is subpart of another organization.
Authorized Official
THOMAS LALLY
CHIEF ADMINISTRATIVE OFFICER
Phone: (704) 377-1647
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.