Provider Demographics
NPI:1508255571
Name:SEDATE U LLC
Entity type:Organization
Organization Name:SEDATE U LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KUZMICH
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:480-290-1460
Mailing Address - Street 1:PO BOX 4442
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:WY
Mailing Address - Zip Code:83112-0442
Mailing Address - Country:US
Mailing Address - Phone:480-290-1460
Mailing Address - Fax:
Practice Address - Street 1:4441 E MCDOWELL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-4503
Practice Address - Country:US
Practice Address - Phone:602-273-6770
Practice Address - Fax:602-889-0483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty