# GUT THEORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1942028873
- **Authorized official:** JANESE LASTER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (205) 821-4321

## Contact information

- **Practice address:** 5225 WISCONSIN AVE NW STE 200B, WASHINGTON, DC 20015-2014
- **Practice address phone:** (205) 821-4341
- **Mailing address:** 5225 WISCONSIN AVE NW STE 200B, WASHINGTON, DC 20015-2014
- **Mailing address phone:** (205) 821-4341

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2024
- **Last updated:** 09/30/2024