{"npi":"1770599136","type":"NPI-2","status":"active","name":{"display":"Radiance-A Private Outpatient Surgery Center LLC","other":[],"organization_name":"RADIANCE-A PRIVATE OUTPATIENT SURGERY CENTER LLC","authorised_official":"Sudhir Rao"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":"PA","license":"1760"}]},"addresses":[{"purpose":"LOCATION","street_1":"701 BOYCE RD","city":"BRIDGEVILLE","state":"PA","postal_code":"150171225","country_code":"US","phone":"4122202336","fax":"4122202279"},{"purpose":"MAILING","street_1":"701 BOYCE RD","city":"BRIDGEVILLE","state":"PA","postal_code":"150171225","country_code":"US","phone":"4122202336","fax":"4122202279"}],"license":{"state":"PA","number":"1760"},"identifiers":[{"type_code":"01","label":"Other","value":"261596","state":"PA","issuer":"HEALTH AMERICA"},{"type_code":"05","label":"Medicaid","value":"102775173 001","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"0253","state":"PA","issuer":"BLUE SHIELD BLUE CROSS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050404000656","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"PA","pac_id":"1658328406"}]},"enumeration_date":"2006-07-31","last_updated":"2022-06-03","_meta":{"source":"NPPES","snapshot_date":"2022-06-03","doc_url":"https://findmynpi.com/api"}}