SUN CITY WEST SURGERY CENTER LLC NPI 1013195569

NPI Information

  • NPI: 1013195569
  • Provider Name: SUN CITY WEST SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: DESERT MIRAGE SURGERY CENTER
  • CLIA Number: 03D2311727
  • Address: 12361 W BOLA DR
    SUITE 112
    SURPRISE, AZ
    ZIP 85374
  • Phone: (405) 285-7500

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NPI Details

SUN CITY WEST SURGERY CENTER, LLC is an ambulatory surgical clinic center in Surprise, AZ. SUN CITY WEST SURGERY CENTER, LLC NPI is 1013195569. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Mirage Surgery Center.

The provider's business location address is:

12361 W BOLA DR
SUITE 112
SURPRISE, AZ
ZIP 85374-019
Phone: (405) 285-7500
Fax: (405) 285-7501

The provider's authorized official is Fay E Wells .
The authorized official title is Director Of Clinical Development and has the following contact phone number (405) 623-7743.

The CLIA number assigned to this NPI record is 03D2311727 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/7/2008 and was last updated on 2/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalARIZONAYes

What is NPI?

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This page was last updated on: 11/21/2025

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