OrganizationActive
West Lakes Surgery Center LLC
NPI 1104933696 · Ambulatory Surgical Clinic/Center · Clive, IA
Provider details
- NPI number
- 1104933696
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Teri Formanek, President(515) 327-1555
- License
- NA
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12499 University Ave
Suite 100
Clive, IA 50325-8281
Phone: (515) 974-5050
Approximate (ZIP-level) locationGet directions
Mailing address
2808 S Ingram Mill Rd
Springfield, MO 65804-4042
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2020-06-04
- Certified
- 2020-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.