DIGESTIVE DISEASE CENTER NPI 1073621512

NPI Information

  • NPI: 1073621512
  • Provider Name: DIGESTIVE DISEASE CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 29D2026907
  • Address: 2136 E DESERT INN RD STE B
    LAS VEGAS, NV
    ZIP 89169
  • Phone: (702) 734-0505

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NPI Details

DIGESTIVE DISEASE CENTER is an ambulatory surgical clinic center in Las Vegas, NV. DIGESTIVE DISEASE CENTER NPI is 1073621512. The provider is registered as an organization entity type.

The provider's business location address is:

2136 E DESERT INN RD STE B
LAS VEGAS, NV
ZIP 89169-247
Phone: (702) 734-0505
Fax: (702) 734-3912

The provider's authorized official is Cynthia J Reyes .
The authorized official title is Practice Manager and has the following contact phone number (702) 760-7292.

The CLIA number assigned to this NPI record is 29D2026907 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 10/8/2025.

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
1261QA1903XClinic/CenterAmbulatory Surgical469ASC-8NEVADAYes

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: 11/21/2025

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