SOUTHWEST ENDOVASCULAR CENTER, LLC – NPI #1760021802
Clinic/Center

SOUTHWEST ENDOVASCULAR CENTER, LLC is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1760021802 to SOUTHWEST ENDOVASCULAR CENTER, LLC on January 06, 2020. 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 SOUTHWEST ENDOVASCULAR CENTER, LLC below.

NPI Profile for
SOUTHWEST ENDOVASCULAR CENTER, LLC

NPI Number
1760021802
Enumeration Date

(more than 6 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
SOUTHWEST ENDOVASCULAR CENTER, LLC
Primary location
7529 E BROADWAY RD
MESA, AZ 85208
Phone: (480) 945-4343 Fax: (480) 945-4350
Mailing address
140 S POWER RD STE 102
MESA, AZ 85206-5297
Phone: (480) 542-4714 Fax:
Organization Subpart
No
Authorized Official
NETTIE CASTILLO
CREDENTIALING SPECIALIST
Phone: (480) 542-4714
Updated
Certification Date
Jan 06, 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.