# BSC 1 LLC

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

## Provider details

- **NPI number:** 1114549805
- **Authorized official:** ARIC BURKE (VICE PRESIDENT OF MANAGER)
- **Authorized official phone:** (480) 689-8403

## Contact information

- **Practice address:** 37200 N GANTZEL RD STE 100, QUEEN CREEK, AZ 85140-7368
- **Practice address phone:** (480) 292-8541
- **Practice address fax:** (480) 508-4617
- **Mailing address:** 2355 E CAMELBACK RD STE 700, PHOENIX, AZ 85016-9044
- **Mailing address phone:** (602) 358-8512

## Taxonomy

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

## Other

- **Enumeration date:** 05/15/2020
- **Last updated:** 08/26/2024