ELITE SURGICAL CENTER, LLC
NPI 1003388760
Clinic/Center - Ambulatory Surgical in Mesa, AZ

Active since December 19, 2018
4540 E BASELINE RD STE 117, MESA, AZ 85206(480) 622-4158 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2020, Dec 19, 2018 (2 updates tracked since 2018).

About Elite Surgical Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE SURGICAL CENTER, LLC (NPI 1003388760) is a healthcare organization registered as an ambulatory surgical in Mesa, Arizona and active in the NPI registry since December 2018. The organization maintains a secondary practice location in Scottsdale and lists Grant Cook, Manager, as its authorized official.

NPPES Registry Identity

NPI1003388760
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameELITE SURGICAL CENTER, LLC
Location Address4540 E BASELINE RD STE 117Mesa, AZ 85206-4617
Mailing Address15333 N Pima Rd Ste 305Scottsdale, AZ 85260-2717
Organization SubpartNo
Authorized OfficialGrant CookManager · (214) 295-6703
Enumeration DateDecember 19, 2018
Last NPPES UpdateApril 21, 20202 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
NPI 1003388760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4540 E BASELINE RD STE 117, Mesa, AZ 85206

Secondary Practice Location 1

Location 115333 N Pima Rd Ste 305Scottsdale, AZ 85260-2717 · Phone (480) 766-6819

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
4540 E BASELINE RD STE 117
MESA, AZ 85206
Clinic/Center (Ambulatory Surgical)
4540 E BASELINE RD STE 117
MESA, AZ 85206
Pain Medicine (Interventional Pain Medicine)
4540 E BASELINE RD STE 117
MESA, AZ 85206
Clinic/Center (Ambulatory Surgical)
4540 E BASELINE RD STE 117
MESA, AZ 85206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Surgical Center, LLC's NPI number?

The NPI number for Elite Surgical Center, LLC is 1003388760. It was assigned to this organization in the NPPES registry on December 19, 2018.

Where is Elite Surgical Center, LLC located?

Elite Surgical Center, LLC is located at 4540 E Baseline Rd Ste 117, Mesa, AZ 85206. The listed phone number is (480) 622-4158.

What is Elite Surgical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Elite Surgical Center, LLC was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.