Meadow Lake Surgery Center Inc
Meadow Lake Surgery Center Inc is an Ambulatory Surgical Clinic/Center in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3630 E Louise Dr Ste 200Meridian, ID 83642-7975
Phone: (208) 377-9515
Fax: (208) 377-9517
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence M8189 (ID) |
|---|
Record details
| NPI number | 1740479476 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Wigod — M.D. · (208) 377-9515 |
| NPI enumerated | October 18, 2007 |
| Last updated in NPPES | September 16, 2013 |
| Mailing address | 3630 E Louise Dr, Suite 200, Meridian, ID 83642-7975 |
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