Healthcare Provider Details

I. General information

NPI: 1508255571
Provider Name (Legal Business Name): SEDATE U LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2015
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 E MCDOWELL RD SUITE 101
PHOENIX AZ
85008-4503
US

IV. Provider business mailing address

PO BOX 4442
BEDFORD WY
83112-0442
US

V. Phone/Fax

Practice location:
  • Phone: 602-273-6770
  • Fax: 602-889-0483
Mailing address:
  • Phone: 480-290-1460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: GEOFFREY KUZMICH
Title or Position: OWNER
Credential: CRNA
Phone: 480-290-1460