SPECIALTY ASC LLC NPI 1083669196

NPI Information

NPI: 1083669196
Provider Name: SPECIALTY ASC LLC

Doing Business As: SURGICAL ARTS CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
9499 W CHARLESTON BLVD
SUITE 250
LAS VEGAS, NV
ZIP 89117
Phone: (702) 933-3600
Get Directions

SPECIALTY ASC LLC is an ambulatory surgical clinic center in Las Vegas, NV. SPECIALTY ASC LLC NPI is 1083669196. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgical Arts Center.

The provider's business location address is:

9499 W CHARLESTON BLVD
SUITE 250
LAS VEGAS, NV
ZIP 89117-147
Phone: (702) 933-3600
Fax: (702) 933-3601

The provider's authorized official is Michelle Bennion .
The authorized official title is Administrator and has the following contact phone number (702) 933-3600.

The CLIA number assigned to this NPI record is 29D0991624 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 3/3/2010.

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	3406ASC-8	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	29C0001049	OTHER	NEVADA	MEDICARE DMERC
2	4602060	MEDICAID	NEVADA
3	V36164	MEDICARE PIN	NEVADA

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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