SOUTHEAST STATE IUP, LLC
NPI 1194426817
Clinic/Center - Ambulatory Surgical in Tucson, AZ

Active since March 10, 2023
6339 E SPEEDWAY BLVD STE 201, TUCSON, AZ 85710(866) 950-8013 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About SOUTHEAST STATE IUP, LLC

This page provides the complete NPI Profile along with additional information for Southeast State Iup, Llc, a provider established in Tucson, Arizona operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1194426817 assigned on March 2023. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Yvette Rivera (Revenue Cycle Manager)

NPI
1194426817 Verify this NPI
Provider Name
SOUTHEAST STATE IUP, LLC
Entity Type
Organization
Location Address
6339 E SPEEDWAY BLVD STE 201 TUCSON, AZ 85710
Location Phone
(866) 950-8013
Mailing Address
6339 E SPEEDWAY BLVD STE 201 TUCSON, AZ 85710
Mailing Phone
(866) 950-8013
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-10-2023
Last Update Date
03-10-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

YVETTE RIVERA

Authorized Official Title
REVENUE CYCLE MANAGER
Authorized Official Phone
(520) 382-1291

Reviews for SOUTHEAST STATE IUP, LLC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710
Clinic/Center (Ambulatory Surgical)
6339 E SPEEDWAY BLVD STE 201
TUCSON, AZ 85710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194426817, enumerated as an "organization" on March 10, 2023.

The provider is located at 6339 E SPEEDWAY BLVD STE 201 TUCSON, AZ 85710 and the phone number is (866) 950-8013.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.