# NATIONAL CARDIOVASCULAR INSTITUTE OF SURPRISE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003438573
- **Authorized official:** TIMOTHY COZATT (INVESTOR RELATIONS OFFICER)
- **Authorized official phone:** (844) 900-2567

## Contact information

- **Practice address:** 12361 W BOLA DR STE 112, SURPRISE, AZ 85378-9021
- **Practice address phone:** (844) 900-2567
- **Mailing address:** PO BOX 41638, PHOENIX, AZ 85080-1638
- **Mailing address phone:** (844) 900-2567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2020
- **Last updated:** 05/12/2020