SURGICAL ARTS CENTER
NPI 1003064890
Clinic/Center - Ambulatory Surgical in Las Vegas, NV

Active since September 04, 2008CLIA 29D0991624 · Waiver
9499 W CHARLESTON BLVD STE 250, LAS VEGAS, NV 89117(702) 933-3600(702) 933-3601 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surgical Arts Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL ARTS CENTER (NPI 1003064890) is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Michelle Bennion, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003064890
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSPECIALTY ASC LLC
Location Address9499 W CHARLESTON BLVD STE 250Las Vegas, NV 89117-7148
Mailing Address9499 W Charleston Blvd Ste 250Las Vegas, NV 89117-7148 · (702) 933-3600 · Fax (702) 933-3601
Fax(702) 933-3601
Organization SubpartNo
Authorized OfficialMichelle BennionAdministrator · (702) 933-3600
Enumeration DateSeptember 4, 2008
Last NPPES UpdateOctober 10, 2011
NPI 1003064890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in NV · 3406ASC-8
9499 W CHARLESTON BLVD STE 250, Las Vegas, NV 89117

Other Names 1

Doing Business AsSurgical Arts Center

Other Identifiers 4

Medicaid4602060NV
Medicare PINV36164NV
Medicare NSC4503950003NV
Other29C0001049NV · Medicare Dmerc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D0991624

Surgical Arts Center · Las Vegas, NV
Active · expires Sep 24, 2027
CLIA Number29D0991624
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorSteven C. Thomas, MD
Laboratory Phone(702) 933-3600
Laboratory LocationSurgical Arts Center9499 W Charleston Ste 250, Las Vegas, NV 89117
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
9499 W CHARLESTON BLVD STE 250
LAS VEGAS, NV 89117
Specialist/Technologist, Other (Surgical Technologist)
9499 W CHARLESTON BLVD STE 250
LAS VEGAS, NV 89117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Specialty ASC LLC's NPI number?

The NPI number for Specialty ASC LLC is 1003064890. It was assigned to this organization in the NPPES registry on September 4, 2008. The provider is doing business as Surgical Arts Center.

Where is Specialty ASC LLC located?

Specialty ASC LLC is located at 9499 W Charleston Blvd Ste 250, Las Vegas, NV 89117. The listed phone number is (702) 933-3600.

What is Specialty ASC LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Specialty ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D0991624) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Specialty ASC LLC was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.