QUEENSRIDGE CARDIOLOGY CENTER LLC NPI 1205564663

NPI Information

NPI: 1205564663
Provider Name: QUEENSRIDGE CARDIOLOGY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 29D2283156

Address:
10040 ALTA DRIVE
SUITE 250
LAS VEGAS, NV
ZIP 89145
Phone: (702) 589-9250
Get Directions

QUEENSRIDGE CARDIOLOGY CENTER LLC is an ambulatory surgical clinic center in Las Vegas, NV. QUEENSRIDGE CARDIOLOGY CENTER LLC NPI is 1205564663. The provider is registered as an organization entity type.

The provider's business location address is:

10040 ALTA DRIVE
SUITE 250
LAS VEGAS, NV
ZIP 89145-905
Phone: (702) 589-9250
Fax: (702) 589-9257

The provider's authorized official is Robert Lerma .
The authorized official title is Administrator and has the following contact phone number (702) 589-9250.

The CLIA number assigned to this NPI record is 29D2283156 - other - dental practice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2022 and was last updated on 8/12/2022.

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			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	1043652906	OTHER	NEVADA	COMMERCIAL PAYRORS

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: 5/5/2024

NPI Synchronization or Removal

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