Exceptional Surgical Providers Llc

LBN: Exceptional Surgical Providers Llc
Exceptional Surgical Providers Llc is an health care organization with primary practice located at 7600 N 15Th St Ste 290 , Phoenix AZ 85020-4336. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as the primary health care specialty. Exceptional Surgical Providers Llc can be contacted via phone (602) 395-0718, or through Koziol, Vanessa via phone (602) 395-0718.

Contact Information

Primary practice address
7600 N 15Th St Ste 290 Phoenix AZ 85020-4336
Phone: (602) 395-0718
Fax: (602) 277-8146
Website:
Map and Directions
Authorized official contact:
Name: Koziol, Vanessa
Phone: (602) 395-0718

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1215504998
LBN Legal business name Exceptional Surgical Providers Llc
DBA Doing business as
Authorized official Koziol, Vanessa
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2021
Last updated Jul 7th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215504998 NPPES
Arizona MEDICAID PEND

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