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CROSSROADS SAINT LLC NPI 1659834075


NPI Information

NPI: 1659834075
Provider Name: CROSSROADS SAINT LLC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 29D2160079

Address:
1120 SHADOW LN STE 120
LAS VEGAS, NV
ZIP 89102
Phone: (702) 382-7746
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CROSSROADS SAINT LLC is a surgery in Las Vegas, NV. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. CROSSROADS SAINT LLC NPI is 1659834075. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1120 SHADOW LN STE 120
LAS VEGAS, NV
ZIP 89102-342
Phone: (702) 382-7746
Fax: (702) 508-0757

The provider's authorized official is Jennifer Morss .
The authorized official title is Chief Operating Officer and has the following contact phone number (702) 382-7746.

The CLIA number assigned to this NPI record is 29D2160079 - other - medical detox with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2019 and was last updated on 4/11/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes

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

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