ADVANCED SURGICAL WEIGHT LOSS, LLC; NPI #1144980947

Contact Information

ADVANCED SURGICAL WEIGHT LOSS, LLC

1855 E SOUTHERN AVE
TEMPE, AZ 85282-5894

Phone: 480-689-5104
Fax: 480-245-6337
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 ADVANCED SURGICAL WEIGHT LOSS, LLC

NPI #	`1144980947`
LBN Legal business name	ADVANCED SURGICAL WEIGHT LOSS, LLC
Authorized official	MICHAEL ORRIS - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/21/2021
Last updated	12/21/2021 - About 4 years ago
Identifiers	n/a

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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