Granite Sahara Surgical Center, LLC
Clinic/Center, Ambulatory Surgical in Las Vegas, NV. Organization (NPI-2).
NPI number1235779752
StatusActive
Last updated in NPPESJan 13, 2020
Details
- NPI
- 1235779752
- Entity type
- Organization (NPI-2)
- Legal business name
- Granite Sahara Surgical Center, LLC
- Organization subpart
- No
- Enumeration date
- Jan 13, 2020
- Certification date
- Jan 13, 2020
- Last updated
- Jan 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
8851 W Sahara Ave Ste 100Las Vegas, NV 89117-5865
Phone 702-254-1777 · Fax 702-254-1213
Mailing address
8851 W Sahara Ave Ste 100Las Vegas, NV 89117-5865
Phone 702-254-1777 · Fax 702-254-1213
Authorized official
Shelley Schulte
Executive Director
7022541777
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