# INTEGRATED SURGICAL INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235788878
- **Authorized official:** JENNIFER BOYER (CONSULTANT)
- **Authorized official phone:** (570) 622-5455

## Contact information

- **Practice address:** WEST RIDGE BUSINESS CAMPUS, 1001 JAMES DRIVE, LEESPORT, PA 19533
- **Practice address phone:** (215) 237-2103
- **Mailing address:** 1001 JAMES DR, LEESPORT, PA 19533-8866
- **Mailing address phone:** (484) 284-9500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2019
- **Last updated:** 08/06/2025
