Organization
PRIME SURGERY CENTER PLLC
Active
Other names
PRIME SURGERY CENTER PLLC, PRIME HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ABEER ADNAN ALIDLEBI (OFFICE MANAGER)
(253) 740-0977
Entity
Organization
Contact information
Practice address
5801 SOUNDVIEW DR, GIG HARBOR, WA 98335-2095
(253) 740-0977
(253) 466-7072
Mailing address
1420 3RD ST SE STE 106, PUYALLUP, WA 98372-3730
(253) 740-0977
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005554
—
WA
Enumeration date
05/05/2019
Last updated
11/27/2023
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