# LOUISVILLE SURGASSIST LLC

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

## Provider details

- **NPI number:** 1831514728
- **Authorized official:** MR. TRAVIS PABLO SURGICAL ASSIST (OWNER)
- **Authorized official phone:** (502) 533-6924

## Contact information

- **Practice address:** 7601 CARMIL CT, LOUISVILLE, KY 40291-2931
- **Practice address phone:** (502) 533-6924
- **Mailing address:** 7601 CARMIL CT, LOUISVILLE, KY 40291-2931
- **Mailing address phone:** (502) 533-6924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | SA161 | KY | Yes |

## Other

- **Enumeration date:** 02/28/2014
- **Last updated:** 02/28/2014