Healthcare Provider Details

I. General information

NPI: 1386409019
Provider Name (Legal Business Name): ACCESS SURGICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 W DRY CREEK CIR STE 120
LITTLETON CO
80120-8078
US

IV. Provider business mailing address

11 W DRY CREEK CIR STE 120
LITTLETON CO
80120-8078
US

V. Phone/Fax

Practice location:
  • Phone: 303-951-8100
  • Fax: 720-463-1090
Mailing address:
  • Phone:
  • Fax: 720-463-1090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CORY LUKER
Title or Position: OWNER
Credential:
Phone: 801-554-6770