| Organization Name: | SUMMIT SURGERY CENTER, LLC |
| NPI Number: | 1003842527 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALLAN PARR (PRESIDENT) |
| Mailing Address: | 7015 Hwy 190 E Serv Rd 101b Covington |
| State: | LA US |
| Postal Code: | 704334960 |
| Phone Number: | 9858939366 |
| Fax Number: | 9858091664 |
| NPI Enumeration Date: | 06/25/2006 |
| NPI Last Update Date: | 04/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |