# ELITE SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1104220466
- **Authorized official:** DAVID R SHEBA D.O. (TREASURER)
- **Authorized official phone:** (724) 437-8200

## Contact information

- **Practice address:** 205 MARY HIGGINSON LN, LEVEL 2, UNIONTOWN, PA 15401-2658
- **Practice address phone:** (724) 437-8200
- **Mailing address:** 205 MARY HIGGINSON LN, LEVEL 2, UNIONTOWN, PA 15401-2658

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2014
- **Last updated:** 10/20/2014
