Organization
NORTHSHORE AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC D GRIENER MD (OWNER)
(985) 375-1120
Entity
Organization
Contact information
Practice address
17174 S I-12 SERVICE RD, HAMMOND, LA 70403
(985) 375-1120
(985) 542-0733
Mailing address
2831 MONROE ST, MANDEVILLE, LA 70448-4936
(985) 375-1111
(985) 542-0733
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
06/27/2008
Last updated
04/27/2020
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