# UPSTATE SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1619998523
- **Authorized official:** DEVIN LARSEN (CEO)
- **Authorized official phone:** (631) 445-0593

## Contact information

- **Practice address:** 10 ENTERPRISE BLVD STE 109, GREENVILLE, SC 29615-3534
- **Practice address phone:** (864) 813-7226
- **Practice address fax:** (864) 556-7552
- **Mailing address:** 9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1216
- **Mailing address phone:** (713) 489-2198
- **Mailing address fax:** (713) 489-2978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASF-050 | SC | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 03/06/2026