Provider Demographics
NPI:1932183266
Name:SINGLE DAY SURGERY CENTER LLC
Entity Type:Organization
Organization Name:SINGLE DAY SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:KUNIL
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-368-6600
Mailing Address - Street 1:PO BOX 50485
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89016-0485
Mailing Address - Country:US
Mailing Address - Phone:702-368-6000
Mailing Address - Fax:702-368-6010
Practice Address - Street 1:6950 W DESERT INN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3171
Practice Address - Country:US
Practice Address - Phone:702-368-6000
Practice Address - Fax:702-368-6010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3454ASC2261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100501263Medicaid
NV490005763OtherRAILROAD MEDICARE
NVCC5639OtherBCBS