MOUNTAIN WEST SURGERY CENTER LLC
NPI 1306441670
Clinic/Center - Ambulatory Surgical in El Paso, TX
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 45D2074808
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 03-16-2028
About MOUNTAIN WEST SURGERY CENTER LLC
This page provides the complete NPI Profile along with additional information for Mountain West Surgery Center Llc, a provider established in El Paso, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1306441670 assigned on December 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Bratislav Velimirovic (Manager)
- NPI
- 1306441670 Verify this NPI
- Provider Name
- MOUNTAIN WEST SURGERY CENTER LLC
- Entity Type
- Organization
- Location Address
- 3909 N MESA ST EL PASO, TX 79902
- Location Phone
- (214) 417-9650
- Mailing Address
- 6204 CONSTELLATION DR EL PASO, TX 79912
- Mailing Phone
- (917) 549-7710
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-03-2020
- Last Update Date
- 07-17-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2074808
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- March 17, 2026
- Certificate Expiration Date
- March 16, 2028
- Laboratory Director
- DR KEITH JOHNSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mountain West Surgery Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306441670, enumerated as an "organization" on December 03, 2020.
The provider is located at 3909 N MESA ST EL PASO, TX 79902 and the phone number is (214) 417-9650.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
