SURGICAL CENTERS OF MADISON LLC NPI 1700472065

NPI Information

NPI: 1700472065
Provider Name: SURGICAL CENTERS OF MADISON LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 52D2249095

Address:
34 SCHROEDER CT STE 100
MADISON, WI
ZIP 53711
Phone: (414) 455-1153
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SURGICAL CENTERS OF MADISON LLC is an ambulatory surgical clinic center in Madison, WI. SURGICAL CENTERS OF MADISON LLC NPI is 1700472065. The provider is registered as an organization entity type.

The provider's business location address is:

34 SCHROEDER CT STE 100
MADISON, WI
ZIP 53711-528
Phone: (414) 455-1153
Fax: (833) 523-9918

The provider's authorized official is Maher Fattouh .
The authorized official title is Owner and has the following contact phone number (414) 455-1153.

The CLIA number assigned to this NPI record is 52D2249095 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2020 and was last updated on 12/21/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			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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