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