Organization
MOUNTAIN LAUREL SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID REYNOLDS M.D. (PRESIDENT)
(570) 253-6688
Entity
Organization
Contact information
Practice address
1860 FAIR AVE STE B, HONESDALE, PA 18431-2182
(570) 253-6688
(570) 253-1811
Mailing address
1860 FAIR AVE STE B, HONESDALE, PA 18431-2182
(570) 253-6688
(570) 253-1811
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102023544-0001
—
PA
Enumeration date
05/07/2006
Last updated
06/18/2025
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