CHANDLER ENDOSCOPY AMBULATORY SURGERY CENTER, LLC; NPI #1093086183

Contact Information

CHANDLER ENDOSCOPY AMBULATORY SURGERY CENTER, LLC

2095 W PECOS RD
SUITE 1
CHANDLER, AZ 85224-5724

Phone: 480-292-9795
Fax: 480-292-9818
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 CHANDLER ENDOSCOPY AMBULATORY SURGERY CENTER, LLC

NPI # 1093086183

LBN Legal business name CHANDLER ENDOSCOPY AMBULATORY SURGERY CENTER, LLC

Authorized official ERIC BOON - (OFFICER/AUTHORIZED OFFICIAL)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/20/2012

Last updated 09/18/2024 - More than a year ago

Identifiers

License #

OSC514

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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