# SOUTHWESTERN AMBULATORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1912933680
- **Authorized official:** JONATHAN BAILEY (OFFICER / AUTHORIZED OFFICIAL)
- **Authorized official phone:** (203) 609-1168

## Contact information

- **Practice address:** 500 LEWIS RUN RD, SUITE 202, PITTSBURGH, PA 15122-3048
- **Practice address phone:** (412) 469-6964
- **Mailing address:** 500 N LEWIS RUN RD STE 202, PITTSBURGH, PA 15122-3048
- **Mailing address phone:** (412) 466-4121
- **Mailing address fax:** (412) 469-6948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 45231500 | PA | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 01/14/2025