# UPTOWN SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1578058897
- **Authorized official:** NIKKI VAUGHAN RN (ADMINISTRATOR)
- **Authorized official phone:** (602) 279-0044

## Contact information

- **Practice address:** 5133 N CENTRAL AVE STE 200, PHOENIX, AZ 85012-1438
- **Practice address phone:** (602) 279-0044
- **Mailing address:** 5133 N CENTRAL AVE STE 100, PHOENIX, AZ 85012-1438
- **Mailing address phone:** (602) 279-0044

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2018
- **Last updated:** 11/09/2018