ARIZONA DIAGNOSTIC & SURGICAL CENTER, INC; NPI #1073561049

Contact Information

ARIZONA DIAGNOSTIC & SURGICAL CENTER, INC

515 N MESA DR
MESA, AZ 85201-5914

Phone: 480-969-9111
Fax: 480-969-0095
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ARIZONA DIAGNOSTIC & SURGICAL CENTER, INC

NPI Number 1073561049

LBN Legal business name ARIZONA DIAGNOSTIC & SURGICAL CENTER, INC

Authorized official THOMAS HAYWOOD - (CHIEF FINANCIAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/04/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

AZ	License #	OSC0072
AZ	Medicaid	504440
AZ	Other	60968	BLUE CROSS PROVIDER NUMBE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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