| Organization Name: | SERENITY SURGICAL, LLC |
| NPI Number: | 1073987053 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SATISH DASARI (CEO) |
| Mailing Address: | 8840 Calumet Ave Suite 104 Munster |
| State: | IN US |
| Postal Code: | 463212545 |
| Phone Number: | 2195139582 |
| Fax Number: | 2195138515 |
| NPI Enumeration Date: | 11/13/2015 |
| NPI Last Update Date: | 05/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 16-013584-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |