Organization
ARIZONA DIAGNOSTIC & SURGICAL CENTER, INC
Active
Other names
Iasis Healthcare Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HAYWOOD (CHIEF FINANCIAL OFFICER)
(480) 844-6226
Entity
Organization
Contact information
Practice address
515 N MESA DR, MESA, AZ 85201-5914
(480) 969-9111
(480) 969-0095
Mailing address
515 N MESA DR, MESA, AZ 85201-5914
(480) 969-9111
(480) 969-0095
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC0072
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504440
—
AZ
01
—
60968
BLUE CROSS PROVIDER NUMBE
AZ
Enumeration date
05/04/2006
Last updated
08/22/2020
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