Provider Demographics
NPI:1902044365
Name:PRECISION SURGICAL, LLC
Entity Type:Organization
Organization Name:PRECISION SURGICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ROMIGER
Authorized Official - Suffix:
Authorized Official - Credentials:CST/FA
Authorized Official - Phone:505-401-2272
Mailing Address - Street 1:5515 DARLINGTON PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-1358
Mailing Address - Country:US
Mailing Address - Phone:505-401-2272
Mailing Address - Fax:505-858-1342
Practice Address - Street 1:5515 DARLINGTON PL NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-1358
Practice Address - Country:US
Practice Address - Phone:505-401-2272
Practice Address - Fax:505-858-1342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM97467246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty