MEDICARE: LAS VEGAS SURGICAL CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1912197195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAS VEGAS SURGICAL CARE

Provider Business Mailing Address
First Line	:	7910 W TROPICAL PKWY
Second Line	:	ST 150-117
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4554
Country	:	US
Telephone Number	:	702-580-3382
Fax Number	:	702-839-2977

Provider Business Practice Location Address
First Line	:	7910 W TROPICAL PKWY
Second Line	:	ST 140
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4554
Country	:	US
Telephone Number	:	702-580-3382
Fax Number	:	702-839-2977

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAUREN LEVINE
Credential	:
Telephone Number	:	702-580-3382

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	07/25/2007

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Directions to “LAS VEGAS SURGICAL CARE ” Practice Location

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