# SOUTHEASTERN NEW MEXICO SURGICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTER FOR AMBULATORY SURGERY AND ENDOSCOPY OF SOUTHEASTERN NEW MEXICO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073594446
- **Authorized official:** MRS. LAURI J ROSE MBA, CASC (ADMINISTRATOR)
- **Authorized official phone:** (505) 627-7000

## Contact information

- **Practice address:** 113 E 19TH ST, ROSWELL, NM 88201-5151
- **Practice address phone:** (505) 627-7000
- **Practice address fax:** (505) 627-7007
- **Mailing address:** 113 E 19TH ST, ROSWELL, NM 88201-5151
- **Mailing address phone:** (505) 627-7000
- **Mailing address fax:** (505) 627-7007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 6786 | NM | Yes |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 08/22/2020