LUTHERAN CAMPUS ASC LLC NPI 1124086608

NPI Information

LUTHERAN CAMPUS ASC LLC is an ambulatory surgical clinic center in Wheat Ridge, CO. LUTHERAN CAMPUS ASC LLC NPI is 1124086608. The provider is registered as an organization entity type.
The provider Is Doing Business As The Surgery Center At Lutheran.

The provider's business location address is:

3455 LUTHERAN PKWY
SUITE 150
WHEAT RIDGE, CO
ZIP 80033-028
Phone: (303) 301-7700
Fax: (303) 301-7701

The provider's authorized official is Nelson Mozia .
The authorized official title is Board Of Manager Chairman and has the following contact phone number (303) 467-8987.

The CLIA number assigned to this NPI record is 06D1051951 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 8/22/2020.

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:

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