ASC LONE TREE LLC NPI 1053711275

NPI Information

NPI: 1053711275
Provider Name: ASC LONE TREE LLC

Doing Business As: ICON SURGERY CENTER OF DENVER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 06D2085545

Address:
10520 EL DIENTE CT
ENGLEWOOD, CO
ZIP 80112
Phone: (720) 524-1001
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ASC LONE TREE LLC is an ambulatory surgical clinic center in Englewood, CO. ASC LONE TREE LLC NPI is 1053711275. The provider is registered as an organization entity type.
The provider Is Doing Business As Icon Surgery Center Of Denver.

The provider's business location address is:

10520 EL DIENTE CT
ENGLEWOOD, CO
ZIP 80112-656
Phone: (720) 524-1001
Fax: (720) 524-1121

The provider's authorized official is Christian Ellison .
The authorized official title is Ceo and has the following contact phone number (720) 273-7449.

The CLIA number assigned to this NPI record is 06D2085545 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2014 and was last updated on 8/20/2020.

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: 5/5/2024

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