PLATINUM SURGERY CENTER LLC NPI 1689360117

NPI Information

NPI: 1689360117
Provider Name: PLATINUM SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D2281664

Address:
1981 E BONANZA CT STE 101
GILBERT, AZ
ZIP 85297
Phone: (480) 466-7355
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PLATINUM SURGERY CENTER LLC is an ambulatory surgical clinic center in Gilbert, AZ. PLATINUM SURGERY CENTER LLC NPI is 1689360117. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1981 E BONANZA CT STE 101
GILBERT, AZ
ZIP 85297-012
Phone: (480) 466-7355

The provider's authorized official is Joshua Olson .
The authorized official title is Owner and has the following contact phone number (480) 466-7355.

The CLIA number assigned to this NPI record is 03D2281664 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2023 and was last updated on 10/2/2023.

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	208200000X	Plastic Surgery				No
2	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

NPI Synchronization or Removal

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