SAN MARTIN SURGERY CENTER LLC NPI 1023218500

NPI Information

NPI: 1023218500
Provider Name: SAN MARTIN SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 29D1096090

Address:
8530 W SUNSET RD
STE 100
LAS VEGAS, NV
ZIP 89113
Phone: (702) 789-5700
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SAN MARTIN SURGERY CENTER LLC is an ambulatory surgical clinic center in Las Vegas, NV. SAN MARTIN SURGERY CENTER LLC NPI is 1023218500. The provider is registered as an organization entity type.

The provider's business location address is:

8530 W SUNSET RD
STE 100
LAS VEGAS, NV
ZIP 89113-244
Phone: (702) 789-5700
Fax: (702) 789-5656

The provider's authorized official is Eric Boon .
The authorized official title is Officer/authorized Official and has the following contact phone number (480) 567-0269.

The CLIA number assigned to this NPI record is 29D1096090 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2007 and was last updated on 8/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	4784ASC	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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