# PRIME SURGICAL CENTER OF MESA, LLC

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

## Provider details

- **NPI number:** 1396528709
- **Authorized official:** AMANDA LEIGH GUNTHEL (HEAD OF OPERATIONS/ADMINISTRATOR)
- **Authorized official phone:** (203) 451-8921

## Contact information

- **Practice address:** 6309 E BAYWOOD AVE STE 106, MESA, AZ 85206-1726
- **Practice address phone:** (818) 937-9969
- **Mailing address:** 6309 E BAYWOOD AVE STE 106, MESA, AZ 85206-1726
- **Mailing address phone:** (203) 451-8921

## Taxonomy

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

## Other

- **Enumeration date:** 08/17/2023
- **Last updated:** 05/13/2026
