OrganizationActive
Advanced Surgery Center LLC
NPI 1619965324 · Ambulatory Surgical Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1619965324
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melinda Smith, Administrator(314) 205-1610
- License
- 132-0 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12607 Olive Blvd
Saint Louis, MO 63141-6313
Phone: (314) 205-1610
Fax: (314) 205-1233
Approximate (ZIP-level) locationGet directions
Mailing address
12607 Olive Blvd
Saint Louis, MO 63141-6313
Registry dates
- Enumerated
- 2005-10-07
- Last updated
- 2014-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.