| Organization Name: | MERCURY SURGERY CENTER LLC |
| NPI Number: | 1538262118 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRIKOR O PARTAMIAN (PRESIDENT) |
| Mailing Address: | 901 Heartland Drive Suite 1820 St Joseph |
| State: | MO US |
| Postal Code: | 645066201 |
| Phone Number: | 8163642772 |
| Fax Number: | 8163646620 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 06/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 1730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |