Provider Demographics
NPI:1316174782
Name:RIDDLE SURGICAL CENTER LLC
Entity type:Organization
Organization Name:RIDDLE SURGICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PERLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-931-2270
Mailing Address - Street 1:PO BOX 7010
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-0010
Mailing Address - Country:US
Mailing Address - Phone:913-647-6475
Mailing Address - Fax:
Practice Address - Street 1:1118 W BALTIMORE PIKE
Practice Address - Street 2:HEALTH CENTER 4, 4TH FLOOR
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-6104
Practice Address - Country:US
Practice Address - Phone:484-931-2264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical