Provider Demographics
NPI:1962826743
Name:SURGICALFIRST, LLC
Entity Type:Organization
Organization Name:SURGICALFIRST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LATRICIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:228-234-7324
Mailing Address - Street 1:272 ROY O'NEAL RD
Mailing Address - Street 2:
Mailing Address - City:PERKINSTON
Mailing Address - State:MS
Mailing Address - Zip Code:39573-3454
Mailing Address - Country:US
Mailing Address - Phone:228-234-7324
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:272 ROY O'NEAL RD
Practice Address - Street 2:
Practice Address - City:PERKINSTON
Practice Address - State:MS
Practice Address - Zip Code:39573-3454
Practice Address - Country:US
Practice Address - Phone:228-234-7324
Practice Address - Fax:888-329-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
148251OtherNATIONAL CSFA CERTIFICATE#