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Organization

SURGICAL SPECIALTY IMAGING LLC

Active
Other names
Camelback Specialty Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN G. DRAZBA (SENIOR V.P. & CHIEF ACCOUNTING OFCR)
(949) 282-6000
Entity
Organization

Contact information

Practice address
6501 N 19TH AVE, STE A, PHOENIX, AZ 85015-1646
(602) 314-4280
(602) 314-4289
Mailing address
26250 ENTERPRISE CT, STE 100, LAKE FOREST, CA 92630-8406
(949) 282-6000

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Enumeration date
01/08/2007
Last updated
08/22/2020
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