Provider Demographics
NPI:1124740915
Name:314 SURGERY CENTER LLC
Entity type:Organization
Organization Name:314 SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SWASTIK
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-949-3066
Mailing Address - Street 1:2840 CLARK AVE
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63103-2506
Mailing Address - Country:US
Mailing Address - Phone:314-949-3066
Mailing Address - Fax:314-260-9806
Practice Address - Street 1:2840 CLARK AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103-2506
Practice Address - Country:US
Practice Address - Phone:314-949-3066
Practice Address - Fax:314-260-9806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical