# EAST VALLEY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EAST VALLEY ASC LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265177992
- **Authorized official:** TINA CHERRO (CEO)
- **Authorized official phone:** (480) 450-6069

## Contact information

- **Practice address:** 4838 E BASELINE RD STE 108, MESA, AZ 85206-4672
- **Practice address phone:** (480) 450-6069
- **Mailing address:** 4838 E BASELINE RD STE 105, MESA, AZ 85206-4672

## Taxonomy

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

## Other

- **Enumeration date:** 04/27/2022
- **Last updated:** 08/03/2022