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LVC SURGERY CENTER LLC
NPI 1164930491
Clinic/Center - Ambulatory Surgical in Las Vegas, NV

Active since January 22, 2018CLIA 29D2161356 · Waiver
1050 S RAINBOW BLVD STE 100, LAS VEGAS, NV 89145(702) 802-3456(702) 802-3457 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2022, Jun 23, 2020 (2 updates tracked since 2020).

About Lvc Surgery Center Llc NPPES

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

LVC SURGERY CENTER LLC (NPI 1164930491) is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Vivian Owyong, Credentialing Contact, as its authorized official.

NPPES Registry Identity

NPI1164930491
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLVC SURGERY CENTER LLC
Location Address1050 S RAINBOW BLVD STE 100Las Vegas, NV 89145-6231
Mailing AddressPo Box 778210Henderson, NV 89077-8210 · (702) 802-3456 · Fax (702) 802-3457
Phone(702) 802-3456
Fax(702) 802-3457
Organization SubpartNo
Authorized OfficialVivian OwyongCredentialing Contact · (702) 802-3456
Enumeration DateJanuary 22, 2018
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
✔ NPI 1164930491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1050 S RAINBOW BLVD STE 100, Las Vegas, NV 89145
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Other Identifiers 1

Medicaid1164930491NV

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 29D2161356

Lvc Surgery Center LLC · Las Vegas, NV
Active · expires Jan 30, 2027
CLIA Number29D2161356
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorDavid Hammer
Laboratory Phone(702) 802-3456
Laboratory LocationLvc Surgery Center LLC1050 S Rainbow Blvd Ste 100, Las Vegas, NV 89145
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Lvc Surgery Center LLC's NPI number?

The NPI number for Lvc Surgery Center LLC is 1164930491. It was assigned to this organization in the NPPES registry on January 22, 2018.

Where is Lvc Surgery Center LLC located?

Lvc Surgery Center LLC is located at 1050 S Rainbow Blvd Ste 100, Las Vegas, NV 89145. The listed phone number is (702) 802-3456.

What is Lvc Surgery Center LLC's specialty?

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

Does Lvc Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2161356) is associated with this NPI, valid through January 30, 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 Lvc Surgery Center LLC was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.