Organization · Type 2 NPI

Heart and Vascular Surgical Center, LLC

Ambulatory Surgical Clinic/Center · Mesa, AZ

NPI number 1881074102 Active

Practice location

4860 E Baseline Rd, Suite 102
Mesa, AZ 85206-4669

Call (480) 772-0575 Map

Fax (844) 836-4859

Mailing address

4860 E Baseline Rd Ste 102
Mesa, AZ 85206-4670

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

4 other providers at this address

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Charli Poole, MS RDObesity and Weight Management Nutrition Registered Dietitian Mesa, AZ NPI 1265352942

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NPI record

NPI: 1881074102
Entity type: Organization (Type 2)
Issued: Jun 2, 2015
Last updated: Mar 15, 2021
Status: Active

Other names

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Chan Heart Rhythm Institute Surgical Treatment Center, LLC · former legal business name
Chan Heart Rhythm Institute Surgical Treatment Center, LLC · former legal business name

Authorized official

Ms. Cheryl Elaine Bonelli
Administrator
(480) 772-0575

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881074102

Heart and Vascular Surgical Center, LLC's National Provider Identifier is 1881074102, issued on Jun 2, 2015. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Mesa, AZ. The record was last updated on Mar 15, 2021.