SUNRISE SKIN CANCER SURGERY CENTER LLC NPI 1225579485

NPI Information

NPI: 1225579485
Provider Name: SUNRISE SKIN CANCER SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 01D2155176

Address:
70 MIDTOWN PARK E STE A
MOBILE, AL
ZIP 36606
Phone: (251) 544-6407
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SUNRISE SKIN CANCER SURGERY CENTER, LLC is an ambulatory surgical clinic center in Mobile, AL. SUNRISE SKIN CANCER SURGERY CENTER, LLC NPI is 1225579485. The provider is registered as an organization entity type.

The provider's business location address is:

70 MIDTOWN PARK E STE A
MOBILE, AL
ZIP 36606-140
Phone: (251) 544-6407
Fax: (251) 544-6411

The provider's authorized official is Sarah Wierszalowski .
The authorized official title is Administrator and has the following contact phone number (251) 544-6407.

The CLIA number assigned to this NPI record is 01D2155176 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 3/18/2021.

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	261QA1903X	Clinic/Center	Ambulatory Surgical		ALABAMA	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

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