DESERT MIRAGE SURGERY CENTER, LLC
NPI 1881216372
Clinic/Center - Ambulatory Surgical in Surprise, AZ

Active since May 07, 2020
12361 W BOLA DR STE 112, SURPRISE, AZ 85378(844) 900-2567 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Desert Mirage Surgery Center, Llc NPPES

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

DESERT MIRAGE SURGERY CENTER, LLC (NPI 1881216372) is a healthcare organization registered as an ambulatory surgical in Surprise, Arizona and active in the NPI registry since May 2020. The organization lists Timothy Cozatt, Investor Relations Officer, as its authorized official.

NPPES Registry Identity

NPI1881216372
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameDESERT MIRAGE SURGERY CENTER, LLC
Location Address12361 W BOLA DR STE 112Surprise, AZ 85378-9021
Mailing AddressPo Box 41638Phoenix, AZ 85080-1638 · (602) 899-4404
Organization SubpartNo
Authorized OfficialTimothy CozattInvestor Relations Officer · (602) 899-4404
Enumeration DateMay 7, 2020
NPPES CertifiedMay 7, 2020
NPI 1881216372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12361 W BOLA DR STE 112, Surprise, AZ 85378

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Ambulatory Surgical)
12361 W BOLA DR STE 112
SURPRISE, AZ 85378
Clinic/Center (Ambulatory Surgical)
12361 W BOLA DR STE 112
SURPRISE, AZ 85378
Internal Medicine (Cardiovascular Disease)
12361 W BOLA DR STE 112
SURPRISE, AZ 85378
Clinic/Center (Ambulatory Surgical)
12361 W BOLA DR STE 112
SURPRISE, AZ 85378
Clinic/Center (Ambulatory Surgical)
12361 W BOLA DR STE 112
SURPRISE, AZ 85378
Clinic/Center (Ambulatory Surgical)
12361 W BOLA DR STE 112
SURPRISE, AZ 85378
Clinic/Center (Ambulatory Surgical)
12361 W BOLA DR STE 112
SURPRISE, AZ 85378

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 Desert Mirage Surgery Center, LLC's NPI number?

The NPI number for Desert Mirage Surgery Center, LLC is 1881216372. It was assigned to this organization in the NPPES registry on May 7, 2020.

Where is Desert Mirage Surgery Center, LLC located?

Desert Mirage Surgery Center, LLC is located at 12361 W Bola Dr Ste 112, Surprise, AZ 85378. The listed phone number is (844) 900-2567.

What is Desert Mirage Surgery 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 Desert Mirage Surgery Center, LLC was last updated on May 7, 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.