Provider Demographics
NPI:1851027387
Name:LVC MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:LVC MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEMIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-852-1305
Mailing Address - Street 1:8410 RAFAEL RIVERA WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-5391
Mailing Address - Country:US
Mailing Address - Phone:727-698-3133
Mailing Address - Fax:
Practice Address - Street 1:8410 RAFAEL RIVERA WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-5391
Practice Address - Country:US
Practice Address - Phone:727-698-3133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care