HEART AND VASCULAR SURGICAL CENTER LLC NPI 1881074102

NPI Information

  • NPI: 1881074102
  • Provider Name: HEART AND VASCULAR SURGICAL CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Former Legal Business Name: CHAN HEART RHYTHM INSTITUTE SURGICAL TREATMENT CENTER, LLC
  • CLIA Number: 03D2099083
  • Address: 4860 E BASELINE RD
    SUITE 102
    MESA, AZ
    ZIP 85206
  • Phone: (480) 772-0575

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NPI Details

HEART AND VASCULAR SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Mesa, AZ. HEART AND VASCULAR SURGICAL CENTER, LLC NPI is 1881074102. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Chan Heart Rhythm Institute Surgical Treatment Center, Llc.

The provider's business location address is:

4860 E BASELINE RD
SUITE 102
MESA, AZ
ZIP 85206-669
Phone: (480) 772-0575
Fax: (844) 836-4859

The provider's authorized official is Cheryl Elaine Bonelli .
The authorized official title is Administrator and has the following contact phone number (480) 772-0575.

The CLIA number assigned to this NPI record is 03D2099083 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2015 and was last updated on 3/15/2021.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

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