# ADVANCED DIAGNOSTIC & SURGICAL RECOVERY INSTITUTE, 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:** 1205208865
- **Authorized official:** DR. H. RANDALL CRAIG MD (MANAGER)
- **Authorized official phone:** (480) 788-3107

## Contact information

- **Practice address:** 2155 E CONFERENCE DR, SUITE 110, TEMPE, AZ 85284-2604
- **Practice address phone:** (480) 788-3107
- **Practice address fax:** (480) 436-6676
- **Mailing address:** 2155 E CONFERENCE DR, SUITE 110, TEMPE, AZ 85284-2604
- **Mailing address phone:** (480) 788-3107
- **Mailing address fax:** (480) 436-6676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | AZ | — |
| 261QR0800X | Recovery Care Clinic/Center | — | AZ | Yes |
| 261QR1100X | Research Clinic/Center | — | AZ | — |

## Other

- **Enumeration date:** 10/22/2015
- **Last updated:** 10/22/2015