ELITE SURGICAL CENTER, LLC – NPI #1003388760
Clinic/Center

ELITE SURGICAL CENTER, LLC is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1003388760 to ELITE SURGICAL CENTER, LLC on December 19, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Apr 21, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELITE SURGICAL CENTER, LLC below.

NPI Profile for
ELITE SURGICAL CENTER, LLC

NPI Number
1003388760
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELITE SURGICAL CENTER, LLC
Primary location
4540 E BASELINE RD STE 117
MESA, AZ 85206-4617
Phone: (480) 622-4158 Fax:
1 Other location(s):
15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717
Phone: (480) 766-6819
Mailing address
15333 N PIMA RD STE 305
SCOTTSDALE, AZ 85260-2717
Phone: Fax:
Organization Subpart
No
Authorized Official
GRANT COOK
MANAGER
Phone: (214) 295-6703
Updated
Certification Date
Apr 21, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.