1770557233 NPI number — MESA AZ ENDOSCOPY ASC LLC

Table of content: (NPI 1770557233)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770557233 NPI number — MESA AZ ENDOSCOPY ASC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MESA AZ ENDOSCOPY ASC LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770557233
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
603 W BASELINE RD STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MESA
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85210-6050
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-969-0405
Provider Business Mailing Address Fax Number:
480-969-2280

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
603 W BASELINE RD STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MESA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85210-6050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-969-0405
Provider Business Practice Location Address Fax Number:
480-969-2280
Provider Enumeration Date:
02/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DILLON
Authorized Official First Name:
SAMANTHA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
480-969-0405

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  OSC3651 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 860929359 . This is a "TRI WEST - TRICARE" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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