Provider Demographics
NPI:1104146174
Name:INSPIRE SURGICAL SERVICES, LLC
Entity type:Organization
Organization Name:INSPIRE SURGICAL SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY & TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:VADELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, FACHE
Authorized Official - Phone:303-730-7303
Mailing Address - Street 1:1500 W LITTLETON BLVD
Mailing Address - Street 2:SUITE 111-B
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2156
Mailing Address - Country:US
Mailing Address - Phone:303-730-7303
Mailing Address - Fax:303-794-5696
Practice Address - Street 1:1500 W LITTLETON BLVD
Practice Address - Street 2:SUITE 111-B
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2156
Practice Address - Country:US
Practice Address - Phone:303-730-7303
Practice Address - Fax:303-794-5696
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANESTHESIA CONNECTIONS SURGICAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO499822OtherTHE JOINT COMMISSION