Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Ridge Ambulatory Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1972850808

Lake Ridge Ambulatory Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Woodbridge, Virginia. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12825 Minnieville Rd Ste 204
Woodbridge, VA 22192
Phone: (703) 357-9568
Fax: (703) 357-9575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1972850808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Smith — Administrator · (703) 357-9568
Other names Lake Ridge Surgery Center
NPI enumeratedAugust 9, 2012
Last updated in NPPESDecember 27, 2013
Mailing address12825 Minnieville Road, Suite 204, Woodbridge, VA 22192

Other providers in Woodbridge