WYATT SURGERY CENTER LLC NPI 1588126791

NPI Information

NPI: 1588126791
Provider Name: WYATT SURGERY CENTER LLC

Doing Business As: WYATT SURGERY CENTER

Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
2424 N WYATT DR STE 160
TUCSON, AZ
ZIP 85712
Phone: (334) 314-6079
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WYATT SURGERY CENTER LLC is an ophthalmologic surgery clinic center in Tucson, AZ. WYATT SURGERY CENTER LLC NPI is 1588126791. The provider is registered as an organization entity type.
The provider Is Doing Business As Wyatt Surgery Center.

The provider's business location address is:

2424 N WYATT DR STE 160
TUCSON, AZ
ZIP 85712-115
Phone: (334) 314-6079

The provider's authorized official is Michael C Diesenhouse .
The authorized official title is Manager and has the following contact phone number (520) 815-5050.

The CLIA number assigned to this NPI record is 03D2176385 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2019 and was last updated on 5/19/2021.

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			No
2	261QS0132X	Clinic/Center	Ophthalmologic Surgery			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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