| Lagrange Surgery Center, Llc | |
|
2500 Ventura Way Lagrange IN 46761 | |
| (574) 296-6452 | |
| (574) 296-6484 |
| Full Name | Lagrange Surgery Center, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2500 Ventura Way, Lagrange, Indiana |
| Authorized Official Name and Position | Haroon Ansari-naz (EXECUTIVE DIRECTOR/VICE PRESIDENT) |
| Authorized Official Contact | 5172027174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagrange Surgery Center, Llc 500 Arcade Ave Ste 100 Elkhart IN 46514-2478 Ph: (574) 296-6452 | Lagrange Surgery Center, Llc 2500 Ventura Way Lagrange IN 46761 Ph: (574) 296-6452 |
| NPI Number | 1235372277 |
|---|---|
| Provider Enumeration Date | 04/07/2009 |
| Last Update Date | 04/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235372277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Northeast Internal Medicine Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Booth Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Detroit St, Lagrange, IN 46761 Phone: 260-463-4896 Fax: 260-463-5242 | |
Redi-care Inc P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2468 Fax: 260-463-4237 | |
Sharp Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Detroit St, Lagrange, IN 46761 Phone: 260-463-4896 Fax: 260-463-5242 |