NPI: 1821560434 · LAS VEGAS, NV 89113 · Ambulatory Surgical Clinic/Center · NPI assigned 12/20/2018
| Authorized Official | COOK, GRANT (MANAGER) |
| NPI Enumeration Date | 12/20/2018 |
Other providers sharing the same authorized official: COOK, GRANT
| Provider | City | State | Total Paid |
|---|---|---|---|
| OPTIMUM SURGICAL CENTER, LLC | PHOENIX | AZ | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 25 | $2K |
| 2024 | 232 | $33K |