Provider Demographics
NPI:1801073648
Name:ELITE ENDOSCOPY LLC
Entity type:Organization
Organization Name:ELITE ENDOSCOPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-948-9482
Mailing Address - Street 1:7150 SMOKE RANCH RD
Mailing Address - Street 2:SUITE #150
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-8387
Mailing Address - Country:US
Mailing Address - Phone:702-485-5100
Mailing Address - Fax:702-948-9488
Practice Address - Street 1:7150 SMOKE RANCH RD
Practice Address - Street 2:SUITE #150
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-8387
Practice Address - Country:US
Practice Address - Phone:702-485-5100
Practice Address - Fax:702-948-9488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3935ASC-0261QA1903X
261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV105660Medicare UPIN