Healthcare Provider Details

I. General information

NPI: 1780117440
Provider Name (Legal Business Name): INSIGHT SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2017
Last Update Date: 05/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9777 S YOSEMITE ST 210
LONE TREE CO
80124
US

IV. Provider business mailing address

9777 S YOSEMITE ST STE 210
LONE TREE CO
80124-3115
US

V. Phone/Fax

Practice location:
  • Phone: 303-708-2943
  • Fax:
Mailing address:
  • Phone: 303-708-2943
  • Fax:

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: STACY DUCHANE
Title or Position: ADMINISTRATOR
Credential:
Phone: 303-708-2943