Provider Demographics
NPI:1275752313
Name:PREMIER SURGICAL ASSISTING, INC.
Entity Type:Organization
Organization Name:PREMIER SURGICAL ASSISTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SUADI
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA, CNOR, CFA
Authorized Official - Phone:303-403-9080
Mailing Address - Street 1:PO BOX 363
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80001-0363
Mailing Address - Country:US
Mailing Address - Phone:303-403-9080
Mailing Address - Fax:303-403-9077
Practice Address - Street 1:7354 ROBB ST
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-3541
Practice Address - Country:US
Practice Address - Phone:303-403-9080
Practice Address - Fax:303-403-9077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO115549163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty