Provider Demographics
NPI:1912197195
Name:LAS VEGAS SURGICAL CARE
Entity Type:Organization
Organization Name:LAS VEGAS SURGICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-580-3382
Mailing Address - Street 1:7910 W TROPICAL PKWY
Mailing Address - Street 2:ST 150-117
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4554
Mailing Address - Country:US
Mailing Address - Phone:702-580-3382
Mailing Address - Fax:702-839-2977
Practice Address - Street 1:7910 W TROPICAL PKWY
Practice Address - Street 2:ST 140
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4554
Practice Address - Country:US
Practice Address - Phone:702-580-3382
Practice Address - Fax:702-839-2977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical