Provider Demographics
NPI:1407595838
Name:ARIZONA SURGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:ARIZONA SURGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-795-0207
Mailing Address - Street 1:4045 E BELL RD STE 149
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2239
Mailing Address - Country:US
Mailing Address - Phone:602-795-0207
Mailing Address - Fax:602-795-4514
Practice Address - Street 1:9242 W UNION HILLS DR STE 100
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-8219
Practice Address - Country:US
Practice Address - Phone:602-795-0207
Practice Address - Fax:602-795-4514
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARIZONA SURGICAL SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical