NPI: 1275530271
Provider Name: TRI-STATE SURGERY CENTER, L.L.C.
Former Legal Business Name: DUBUQUE REGIONAL AMBULATORY SURGICAL CENTER, L.L.C.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
CLIA Number: 16D0952051
Address:
1500 ASSOCIATES DR
DUBUQUE, IA
ZIP 52002
Phone: (563) 584-4536
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TRI-STATE SURGERY CENTER, L.L.C. is an ambulatory surgical clinic center in Dubuque, IA. TRI-STATE SURGERY CENTER, L.L.C. NPI is 1275530271. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dubuque Regional Ambulatory Surgical Center, L.l.c..
The provider's business location address is:
1500 ASSOCIATES DR
DUBUQUE, IA
ZIP 52002-201
Phone: (563) 584-4536
Fax: (563) 584-4526
The provider's authorized official is Barbara Ann Perleth .
The authorized official title is Business Office Manager and has the following contact phone number (563) 584-4506.
The CLIA number assigned to this NPI record is 16D0952051 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/5/2005 and was last updated on 5/31/2012.