Provider Demographics
NPI:1326340852
Name:THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC
Entity Type:Organization
Organization Name:THE SURGICAL INSTITUTE OF MONROE AMBULATORY SURGERY CENTER LLC
Other - Org Name:SURGICAL INSTITUTE OF MONROE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOULE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-869-8703
Mailing Address - Street 1:1051 S TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-5514
Mailing Address - Country:US
Mailing Address - Phone:650-799-9200
Mailing Address - Fax:916-290-0818
Practice Address - Street 1:1051 S TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-5514
Practice Address - Country:US
Practice Address - Phone:734-244-5383
Practice Address - Fax:734-682-3627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-05
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical