# LAPORTE MEDICAL GROUP SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1285870303
- **Authorized official:** JUSTIN KATS (DIVISIONAL CFO)
- **Authorized official phone:** (219) 757-6403

## Contact information

- **Practice address:** 900 I ST, SUITE 1, LA PORTE, IN 46350-5533
- **Practice address phone:** (816) 877-2005
- **Mailing address:** 900 I ST, SUITE 1, LA PORTE, IN 46350-5533
- **Mailing address phone:** (219) 324-1670

## Taxonomy

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

## Other

- **Enumeration date:** 12/18/2008
- **Last updated:** 07/08/2026