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

The Surgery Center of St Louis, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1710066014

The Surgery Center of St Louis, 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.

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Practice location Address checks out

12639 Old Tesson Rd Ste 130
Saint Louis, MO 63128-2786
Phone: (314) 729-0785
Fax: (314) 849-4637
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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 · Licence 129-2 (MO)

Record details

NPI number1710066014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ladevich — Ceo · (314) 842-8655
NPI enumeratedNovember 6, 2006
Last updated in NPPESApril 14, 2008
Mailing address12639 Old Tesson Rd, Suite 130, Saint Louis, MO 63128-2786

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