Provider Demographics
NPI:1679600274
Name:MEDICAL BILLING & SURGICAL ASSISTANCE LLC
Entity Type:Organization
Organization Name:MEDICAL BILLING & SURGICAL ASSISTANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LAWRANCE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CST CSA
Authorized Official - Phone:602-441-4887
Mailing Address - Street 1:PO BOX 5887
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85010-5887
Mailing Address - Country:US
Mailing Address - Phone:602-441-4887
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:2323 E VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-3947
Practice Address - Country:US
Practice Address - Phone:602-441-4887
Practice Address - Fax:888-329-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty