SURGERY CENTER OF BLUE VALLEY INC NPI 1104993385

NPI Information

SURGERY CENTER OF BLUE VALLEY, INC is an ambulatory surgical clinic center in Overland Park, KS. SURGERY CENTER OF BLUE VALLEY, INC NPI is 1104993385. The provider is registered as an organization entity type.

The provider's business location address is:

7230 WEST 129TH STREET
OVERLAND PARK, KS
ZIP 66213-624
Phone: (913) 338-4440
Fax: (913) 338-1712

The provider's authorized official is David B Laha .
The authorized official title is Medical Director and has the following contact phone number (913) 338-4440.

The CLIA number assigned to this NPI record is 17D1065530 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 4/12/2008.

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:

Other Identifiers

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