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Contact Information

LAKE PLEASANT SURGICAL CENTER LLC
15601 N 28TH AVE STE 101
PHOENIX, AZ85053-4061
 Phone: 602-237-6340
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for LAKE PLEASANT SURGICAL CENTER LLC

NPI Number 1902403736
LBN Legal business name LAKE PLEASANT SURGICAL CENTER LLC
Authorized official THOMAS MOSHIRI - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/05/2020
Last updated 02/24/2022 - 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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