Provider Demographics
NPI:1548509748
Name:SURGITECH, INC.
Entity type:Organization
Organization Name:SURGITECH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGULATORY
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:CROWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-477-8191
Mailing Address - Street 1:2772 GATEWAY RD
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-1746
Mailing Address - Country:US
Mailing Address - Phone:760-477-8191
Mailing Address - Fax:760-758-9587
Practice Address - Street 1:2772 GATEWAY RD
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-1746
Practice Address - Country:US
Practice Address - Phone:760-477-8191
Practice Address - Fax:760-758-9587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
2032724OtherFDA FACILITY REGISTRATION
CA63435OtherMEDICAL DEVICE MANUFACTURER