Provider Demographics
NPI:1245698992
Name:METROPOLITAN SURGICAL ASSISTANTS
Entity type:Organization
Organization Name:METROPOLITAN SURGICAL ASSISTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-221-4815
Mailing Address - Street 1:PO BOX 21449
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85277-1449
Mailing Address - Country:US
Mailing Address - Phone:480-221-4815
Mailing Address - Fax:480-985-6247
Practice Address - Street 1:1524 E FAIRBROOK ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-5028
Practice Address - Country:US
Practice Address - Phone:480-221-4815
Practice Address - Fax:480-985-6247
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROSS MCDONALD SAC PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty