AKDHC SURGERY CENTER LLC NPI 1164949996

NPI Information

NPI: 1164949996
Provider Name: AKDHC SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D0971552

Address:
3320 N 2ND ST
PHOENIX, AZ
ZIP 85012
Phone: (602) 200-8288
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AKDHC SURGERY CENTER, LLC is an ambulatory surgical clinic center in Phoenix, AZ. AKDHC SURGERY CENTER, LLC NPI is 1164949996. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3320 N 2ND ST
PHOENIX, AZ
ZIP 85012-319
Phone: (602) 200-8288
Fax: (602) 265-4373

The provider's authorized official is Adonis Escobedo .
The authorized official title is Credentialing Manager and has the following contact phone number (602) 759-6883.

The CLIA number assigned to this NPI record is 03D0971552 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2017 and was last updated on 8/23/2017.

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
1	207RN0300X	Internal Medicine	Nephrology		ARIZONA	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical		ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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