Organization
ASC SURGICAL VENTURES, LLC
Active
Other names
OSMC Outpatient Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN S. MCLAUGHLIN (CHIEF ADMINISTRATIVE OFFICER)
(574) 264-0791
Entity
Organization
Contact information
Practice address
2310 CALIFORNIA RD STE B, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Mailing address
2310 CALIFORNIA ROAD, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
009555
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200144280A
—
IN
Enumeration date
05/10/2007
Last updated
03/20/2019
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