ADVANCED SURGICAL WEIGHT LOSS, LLC – NPI #1144980947
Clinic/Center

ADVANCED SURGICAL WEIGHT LOSS, LLC is an AHC clinic located in TEMPE, AZ. NPPES has assigned the NPI number 1144980947 to ADVANCED SURGICAL WEIGHT LOSS, LLC on December 21, 2021. 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

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 ADVANCED SURGICAL WEIGHT LOSS, LLC below.

NPI Profile for
ADVANCED SURGICAL WEIGHT LOSS, LLC

NPI Number
1144980947
Enumeration Date

(more than 4 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
ADVANCED SURGICAL WEIGHT LOSS, LLC
Primary location
1855 E SOUTHERN AVE
TEMPE, AZ 85282-5894
Phone: (480) 689-5104 Fax: (480) 245-6337
Mailing address
1847 E SOUTHERN AVE STE 2
TEMPE, AZ 85282-5881
Phone: (480) 689-5104 Fax:
Organization Subpart
No
Authorized Official
MICHAEL ORRIS
OWNER
Phone: (480) 689-5104
Updated
Certification Date
Dec 21, 2021

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.