# SUNRISE AMBULATORY SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1750352324
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 5448 WHITE MOUNTAIN BLVD STE 100, LAKESIDE, AZ 85929-5736
- **Practice address phone:** (928) 532-3010
- **Practice address fax:** (928) 532-1161
- **Mailing address:** 1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187
- **Mailing address phone:** (615) 240-3820
- **Mailing address fax:** (615) 234-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC2943 | AZ | Yes |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 03/29/2021