BROADWEST SPECIALTY SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Merrillville, IN. BROADWEST SPECIALTY SURGICAL CENTER, LLC NPI is 1770532194. The provider is registered as an organization entity type.
The provider's business location address is:
315 W 89TH AVENUE
MERRILLVILLE, IN
ZIP 46410-254
Phone: (219) 757-5275
Fax: (219) 757-5292
The provider's authorized official is Vijay K. Gupta .
The authorized official title is President/ceo and has the following contact phone number (219) 757-5275.
The CLIA number assigned to this NPI record is 15D1073801 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/10/2006 and was last updated on 7/1/2015.