National Provider Identifier Database

SURGICAL SPECIALTY IMAGING LLC
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

SURGICAL SPECIALTY IMAGING LLC
6501 N 19TH AVE
STE A
PHOENIX, AZ85015-1646
Phone: 602-314-4280
Fax: 602-314-4289
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for SURGICAL SPECIALTY IMAGING LLC

NPI Number 1669520268
Legal business name
LBN
SURGICAL SPECIALTY IMAGING LLC
Authorized official BRIAN DRAZBA - (SENIOR V.P. & CHIEF ACCOUNTING OFCR)
Entity Organization
Organization subpart No
Enumeration date 01/08/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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