# SURGI CENTER OF GREATER MADISON, LLC

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

## Provider details

- **NPI number:** 1720017973
- **Authorized official:** MR. VISHAL LAL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (414) 325-3737

## Contact information

- **Practice address:** 34 SCHROEDER CT, STE 100, MADISON, WI 53711-2525
- **Practice address phone:** (414) 325-7246
- **Practice address fax:** (414) 325-3701
- **Mailing address:** 4131 W LOOMIS RD, STE 300, GREENFIELD, WI 53221-2057
- **Mailing address phone:** (414) 325-3725
- **Mailing address fax:** (414) 325-3701

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 10/24/2016