Healthcare Provider Details

I. General information

NPI: 1386890606
Provider Name (Legal Business Name): CENTER FOR SURGICAL INTERVENTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 12/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 S. DURANGO DR.
LAS VEGAS NV
89113
US

IV. Provider business mailing address

9811 W. CHARLESTON SUITE #2-389
LAS VEGAS NV
89117
US

V. Phone/Fax

Practice location:
  • Phone: 702-562-3039
  • Fax: 702-562-6928
Mailing address:
  • Phone: 702-562-3039
  • Fax: 702-562-6928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number5447ASC-0
License Number StateNV

VIII. Authorized Official

Name: DR. BRIAN A LEMPER
Title or Position: PRESIDENT
Credential: D.O.
Phone: 702-562-3039