Raad Taki Surgery Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

AZ 27306 Issued in AZ

Legal business name

RAAD TAKI SURGERY CENTER

Practice address

4580 E Camp Lowell Dr
Tucson, AZ 85712-1282

Phone

(520) 881-3232

Fax

(520) 881-3535

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lynn Groberg, RN

Title

Administrator

Phone

(520) 881-3232

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760513824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121282",
            "telephone_number": "520-881-3232",
            "fax_number": "520-881-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121282",
            "telephone_number": "520-881-3232",
            "fax_number": "520-881-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAAD TAKI SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROBERG",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-881-3232",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "AZ 27306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R J Simoneaux DMD PLLC
• R. Todd Haft, D.D.S.,P.C.
• R&B in Home Support Services,LLC
• R&R Dental Medicine, P.L.L.C.
• Ra Stout LLC
• Dalila Rabago
• Franchesca Rabago
• Izabella Marie Rabago, RBT
• Kyle Steven Rabe, D.D.S.,MS,CERT ORTHO
• Robert Michael Rabe, PTA

• Specialist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.