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PHANTOM SURGICAL LLC
NPI 1063386332
Physician Assistant - Surgical in Phoenix, AZ

Active since September 30, 2025
19820 N 7TH ST STE 208, PHOENIX, AZ 85024(480) 773-1803 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phantom Surgical Llc NPPES

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

PHANTOM SURGICAL LLC (NPI 1063386332) is a healthcare organization registered as a surgical in Phoenix, Arizona and active in the NPI registry since September 2025. The organization lists Brett Mclaughlin, Director, as its authorized official.

NPPES Registry Identity

NPI1063386332
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NamePHANTOM SURGICAL LLC
Location Address19820 N 7TH ST STE 208Phoenix, AZ 85024-1694
Mailing AddressPo Box 41340Phoenix, AZ 85080-1340 · (480) 773-1803
Phone(480) 773-1803
Organization SubpartNo
Authorized OfficialBrett MclaughlinDirector · (480) 773-1803
Enumeration DateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1063386332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
19820 N 7TH ST STE 208, Phoenix, AZ 85024
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Phantom Surgical LLC's NPI number?

The NPI number for Phantom Surgical LLC is 1063386332. It was assigned to this organization in the NPPES registry on September 30, 2025.

Where is Phantom Surgical LLC located?

Phantom Surgical LLC is located at 19820 N 7th St Ste 208, Phoenix, AZ 85024. The listed phone number is (480) 773-1803.

What is Phantom Surgical LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Phantom Surgical LLC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.