Organization
SURGICAL SPECIALTY HOSPITAL OF ARIZONA, LLC
Active
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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