Organization Name: | YOSEMITE STREET SURGERY CENTER, LLC |
NPI Number: | 1083893499 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURENCE COLLETTI (BUSINESS MANAGER) |
Mailing Address: | 9777 S. Yosemite St Ste 210 Lone Tree |
State: | CO US |
Postal Code: | 801243191 |
Phone Number: | 3037082943 |
Fax Number: | 3033796861 |
NPI Enumeration Date: | 11/01/2007 |
NPI Last Update Date: | 11/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |