PRO SURGE LLC – NPI #1619478807
Clinic/Center

PRO SURGE LLC is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1619478807 to PRO SURGE LLC on February 23, 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 8 years ago on Aug 29, 2018. 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 PRO SURGE LLC below.

NPI Profile for
PRO SURGE LLC

NPI Number
1619478807
Enumeration Date

(more than 8 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
PRO SURGE LLC
Primary location
3329 E BELL RD STE A2-A5
PHOENIX, AZ 85032
Phone: (602) 482-2282 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIN WAYCHOFF
MBR
Phone: (602) 482-2282
Updated
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.