Organization
SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC
Active
Other names
The Core Institute Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC TOMLON (CHIEF OF ADMINISTRATION & STAFF OFF)
(623) 537-5605
Entity
Organization
Contact information
Practice address
6501 N 19TH AVE, PHOENIX, AZ 85015-1646
(602) 795-6020
(602) 795-6022
Mailing address
6501 N 19TH AVE, PHOENIX, AZ 85015-1646
(602) 795-6020
(602) 795-6022
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
948325
—
AZ
Enumeration date
12/09/2005
Last updated
04/17/2025
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