# SELAROM SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1881870434
- **Authorized official:** LOUIS MORALES JR. M.D. (ADMINISTRATOR)
- **Authorized official phone:** (801) 743-0700

## Contact information

- **Practice address:** 5089 S 900 E, \#100, SALT LAKE CITY, UT 84117-5735
- **Practice address phone:** (801) 743-0700
- **Practice address fax:** (801) 743-0701
- **Mailing address:** 5089 S 900 E, \#100, SALT LAKE CITY, UT 84117-5735
- **Mailing address phone:** (801) 743-0700
- **Mailing address fax:** (801) 743-0701

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2008
- **Last updated:** 10/02/2008