Healthcare Provider Details

I. General information

NPI: 1144158585
Provider Name (Legal Business Name): LSU HEALTH AMBULATORY SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 FLORIDA AVE
NEW ORLEANS LA
70119-2715
US

IV. Provider business mailing address

1207 N CAUSEWAY BLVD
METAIRIE LA
70001-4129
US

V. Phone/Fax

Practice location:
  • Phone: 504-616-5288
  • Fax: 504-274-1128
Mailing address:
  • Phone: 504-616-5288
  • Fax: 504-274-1128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LARRY VERGES
Title or Position: MANAGER
Credential: MANAGER
Phone: 504-616-5288