Bloomington Asc, LLC
NPI #1356764484 in Bloomington, Indiana
Provider Information
- NPI Number
- 1356764484
- Entity Type
- Organization
- Organization Name
- Bloomington Asc, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jan 24, 2014
- Last Updated
- Oct 4, 2024
Practice Location
- Address
- 1380 W ARCH HAVEN AVE
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-2055
- Phone
- (812) 330-1164
Authorized Official
- Name
- PETER BLACH
- Title
- OFFICER/AUTHORIZED OFFICIAL
- Phone
- (713) 343-0832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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