Olive Ambulatory Surgery Center, LLC
Olive Ambulatory Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.
- Licensed in
- MO
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12101 Woodcrest Executive Dr Ste 101Saint Louis, MO 63141-5047
Phone: (314) 576-4500
Fax: (314) 576-4503
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 177 (MO) |
|---|
Record details
| NPI number | 1588739858 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jenetha Moran — Officer / Authorized Official · (972) 763-3893 |
| Other names | Olive Surgery Center |
| NPI enumerated | November 22, 2006 |
| Last updated in NPPES | January 5, 2017 |
| Mailing address | 12101 Woodcrest Executive Dr, Ste 101, Saint Louis, MO 63141-5047 |
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