Provider Demographics
NPI:1275786154
Name:METRO SURGICAL SERVICES LLC
Entity Type:Organization
Organization Name:METRO SURGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFA/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:E
Authorized Official - Last Name:FANNING
Authorized Official - Suffix:
Authorized Official - Credentials:CFA
Authorized Official - Phone:303-484-1580
Mailing Address - Street 1:23061 E ALAMO PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6673
Mailing Address - Country:US
Mailing Address - Phone:303-484-1580
Mailing Address - Fax:
Practice Address - Street 1:23061 E ALAMO PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-6673
Practice Address - Country:US
Practice Address - Phone:303-484-1580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO108079246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty