| Organization Name: | ROANOKE AMBULATORY SURGERY CENTER, LLC |
| NPI Number: | 1013914985 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELISSA S ALLEY (BUSINESS OFFICE MANAGER) |
| Mailing Address: | 1102 S Jefferson St Roanoke |
| State: | VA US |
| Postal Code: | 240164704 |
| Phone Number: | 5403425800 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2005 |
| NPI Last Update Date: | 11/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | OH636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |