Provider Demographics
NPI:1760947717
Name:ADVANCED ORTHOPAEDIC SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:ADVANCED ORTHOPAEDIC SURGERY CENTER, LLC
Other - Org Name:LAS VEGAS INSTITUTE FOR ADVANCED SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SEP
Authorized Official - Middle Name:
Authorized Official - Last Name:BADY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-740-5327
Mailing Address - Street 1:7183 ADVANCED WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3691
Mailing Address - Country:US
Mailing Address - Phone:702-936-7657
Mailing Address - Fax:
Practice Address - Street 1:7183 ADVANCED WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-3624
Practice Address - Country:US
Practice Address - Phone:248-396-8109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical